| NPI | 1194808600 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-10-20 |
| Last Updated | 2022-07-21 |
| Authorized Official | Pablo Ruiz owner/Physical Therapist Phone: 6238829787 |
| Mailing Address | 250 N Litchfield Rd, Suite 155 Goodyear, AZ 85338-1333 United States Phone: (623) 882-9787 📍 View Map |
| Primary Practice Address | 250 N Litchfield Rd, Suite 155 Goodyear, AZ 85338-1333 United States Phone: (623) 882-9787 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2Z2985 | Humana |
| Other (non-Medicare) | AZ | 3786840000 | Dept. of Labor |
| Other (non-Medicare) | AZ | 64-0096 | Evercare AHCCS |
| Other (non-Medicare) | AZ | 7499498 | Aetna ID |
| Other (non-Medicare) | AZ | ========= | TAX ID NUMBER |
| Other (non-Medicare) | AZ | =========-20027 | Tricare/WPS |
| Other (non-Medicare) | AZ | AZ0299850 | BC/BS of AZ |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 174400000X – Specialist | AZ | - |
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About NPI 1194808600
White Tanks Physical Therapy And Orthopedic Rehabilitation Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1194808600. The primary specialty listed is Specialist. The organization is located in Goodyear, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194808600?
NPI 1194808600 belongs to White Tanks Physical Therapy And Orthopedic Rehabilitation Llc, a Specialist in Goodyear, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194808600 active?
The current status of NPI 1194808600 in the NPPES registry is Active. The record was last updated on 2022-07-21.
What specialty is NPI 1194808600?
NPI 1194808600 is classified under the taxonomy Specialist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194808600?
You can verify NPI 1194808600 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194808600?
The primary practice address on file for NPI 1194808600 is 250 N Litchfield Rd, Goodyear, AZ 85338-1333. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194808600 issued?
NPI 1194808600 was first issued (enumerated) on 2006-10-20. The NPPES record was last updated on 2022-07-21.
Practice Location Map
White Tanks Physical Therapy And Orthopedic Rehabilitation Llc is located at 250 N Litchfield Rd, Goodyear, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as White Tanks Physical Therapy And Orthopedic Rehabilitation Llc. All records sourced from the CMS NPPES registry.