The Physio Shop Llc - Medicare in Flagstaff, AZ

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The Physio Shop Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Flagstaff, Arizona. Their current practice location is 1510 S. Riordan Ranch St., Flagstaff, Arizona. You can reach out to their office (for appointments etc.) via phone at (928) 214-7303.

The Physio Shop Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. The Physio Shop Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1134524234.

Contact Information

The Physio Shop Llc
1510 S. Riordan Ranch St.,
Flagstaff, AZ 86001
(928) 214-7303
(928) 214-0696

Map and Direction




Healthcare Provider's Profile

Full NameThe Physio Shop Llc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location1510 S. Riordan Ranch St., Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134524234
  • Provider Enumeration Date: 10/31/2014
  • Last Update Date: 05/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123345451
  • Enrollment ID: O20150326000845

Medical Identifiers

Medical identifiers for The Physio Shop Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134524234NPI-NPPES
126915MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 9032 (Arizona)Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Physio Shop Llc acts as a billing entity for following providers:
Provider NameJason C Dorsch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023328804
PECOS PAC ID: 6406034362
Enrollment ID: I20110623000132
Provider NameJason A Klein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952745515
PECOS PAC ID: 9436371630
Enrollment ID: I20141103001532
Provider NameKameron J Harder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598272676
PECOS PAC ID: 8325308158
Enrollment ID: I20180215002463
Provider NameKelsey Yvonne Andrist
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619405313
PECOS PAC ID: 2163771031
Enrollment ID: I20180827001181
Provider NameBenjamin S Wakefield
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982235792
PECOS PAC ID: 3779910872
Enrollment ID: I20200303000090
Provider NameJohn Robert Michael Klass
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598341091
PECOS PAC ID: 3274942511
Enrollment ID: I20210517002166
Provider NameJennifer D Wyly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043323884
PECOS PAC ID: 8527462712
Enrollment ID: I20210810003375
Provider NameRandall P Cohen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588608764
PECOS PAC ID: 1254737406
Enrollment ID: I20210914000346
Provider NameJackson H Darveaux
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669125191
PECOS PAC ID: 4082080544
Enrollment ID: I20221025001433
Provider NameAlexandra Mackay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598120396
PECOS PAC ID: 7315249927
Enrollment ID: I20230116000444
Provider NameMary L Halbach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710001094
PECOS PAC ID: 9335510379
Enrollment ID: I20230130001441
Provider NameMorgan A Drew
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619680915
PECOS PAC ID: 9133591696
Enrollment ID: I20230209000484
Provider NameCorinne E Wallis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255040358
PECOS PAC ID: 0042682536
Enrollment ID: I20230209001710
Provider NameKambrie Stephens
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073194205
PECOS PAC ID: 1759740277
Enrollment ID: I20230630002270
Provider NameHeather Harrower
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205444072
PECOS PAC ID: 7416377833
Enrollment ID: I20231011002530
Provider NameBrienna C Nixon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093123150
PECOS PAC ID: 3870949084
Enrollment ID: I20231024004050
Provider NameJennifer Neudorfer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962994913
PECOS PAC ID: 3678828050
Enrollment ID: I20240205000604
Provider NamePatrick Klass
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396515714
PECOS PAC ID: 7214370105
Enrollment ID: I20240207003577

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. The Physio Shop Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Physio Shop Llc
1510 S. Riordan Ranch St.,
Flagstaff, AZ 86001

Ph: (928) 214-7303		The Physio Shop Llc
1510 S. Riordan Ranch St.,
Flagstaff, AZ 86001

Ph: (928) 214-7303

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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