NORTHWEST ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC
NPI 1073610440
Physical Therapist - Orthopedic in Sun City West, AZ

Q: What is Northwest Orthopedic & Sports Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Active since September 20, 2006

13540 W CAMINO DEL SOL STE 6, SUN CITY WEST, AZ 85375(623) 556-5013(480) 508-5894 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2025, Jan 19, 2018, Jan 20, 2017 (3 updates tracked since 2017).

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About Northwest Orthopedic & Sports Physical Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC (NPI 1073610440) is a healthcare organization registered as an orthopedic in Sun City West, Arizona and active in the NPI registry since September 2006. The organization lists Lacy La' Nette Wysopal, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1073610440

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameNORTHWEST ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC

Location Address13540 W CAMINO DEL SOL STE 6Sun City West, AZ 85375-4435

Mailing Address13540 W Camino Del Sol Ste 6Sun City West, AZ 85375-4435 · (623) 556-5013 · Fax (480) 508-5894

Phone(623) 556-5013

Fax(480) 508-5894

Organization SubpartNo

Authorized OfficialLacy La' Nette WysopalManaging Member · (623) 556-5013

Enumeration DateSeptember 20, 2006

Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1073610440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

13540 W CAMINO DEL SOL STE 6, Sun City West, AZ 85375

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Other Identifiers 1

OtherDF2066AZ · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Orthopedic & Sports Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Northwest Orthopedic & Sports Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Justin Creasy

Physical Therapist in Private Practice

NPI 1982372264

13540 W CAMINO DEL SOL STE 6
Sun City West, AZ 85375

(623) 556-5013

✔ PECOS✔ Accepts MedicareSame address

Joseph Mack

Physical Therapist in Private Practice

NPI 1316721871

13540 W CAMINO DEL SOL STE 6
Sun City West, AZ 85375

(623) 556-5013

✔ Accepts MedicareSame address

Matthew Neiberg, PT

Physical Therapist in Private Practice

NPI 1356451538

13540 W CAMINO DEL SOL STE 6
Sun City West, AZ 85375

(623) 556-5013

✔ Accepts MedicareSame address

Candra Murphy, PT, DPT, MS

Physical Therapist in Private Practice

NPI 1801565486

14800 W MOUNTAIN VIEW BLVD STE 260
Surprise, AZ 85374

(623) 556-5013

1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Orthopedic & Sports Physical Therapy LLC's NPI number?

The NPI number for Northwest Orthopedic & Sports Physical Therapy LLC is 1073610440. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Northwest Orthopedic & Sports Physical Therapy LLC located?

Northwest Orthopedic & Sports Physical Therapy LLC is located at 13540 W Camino Del Sol Ste 6, Sun City West, AZ 85375. The listed phone number is (623) 556-5013.

What is Northwest Orthopedic & Sports Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Northwest Orthopedic & Sports Physical Therapy LLC enrolled in Medicare?

Yes. Northwest Orthopedic & Sports Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Orthopedic & Sports Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Northwest Orthopedic & Sports Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northwest Orthopedic & Sports Physical Therapy LLC was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.