CUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE
NPI 1255734919
Orthopaedic Surgery - Sports Medicine in Phoenix, AZ

Q: What is Cucchetti Orthopedics And Sports Medicine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since October 08, 2014

4440 N 36TH ST, SUITE 100, PHOENIX, AZ 85018(602) 952-8111(602) 952-1572 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cucchetti Orthopedics And Sports Medicine NPPES

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

CUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE (NPI 1255734919) is a healthcare organization registered as a sports medicine in Phoenix, Arizona and active in the NPI registry since October 2014. The organization lists Kim Holliday, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255734919

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameCUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE

Location Address4440 N 36TH ST, SUITE 100Phoenix, AZ 85018-3588

Mailing Address4440 N 36th St, Suite 100Phoenix, AZ 85018-3588 · (602) 952-8111 · Fax (602) 952-1572

Phone(602) 952-8111

Fax(602) 952-1572

Organization SubpartNo

Authorized OfficialKim HollidayAdministrator · (480) 330-3851

Enumeration DateOctober 8, 2014

Last NPPES UpdateOctober 15, 2014

✔ NPI 1255734919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in AZ · 005722

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

4440 N 36TH ST, Phoenix, AZ 85018

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENDURANCE REHABILITATION LLC

Physical Therapist

4440 N 36TH ST, SUITE 240
PHOENIX, AZ 85018

Maricopa County (602) 956-4040

MRS. JANET MARY TATE RNFA

Registered Nurse

4440 N 36TH ST, STE #200
PHOENIX, AZ 85018

Maricopa County (480) 330-3850

MS. KRISTINA LOTT PT

Physical Therapist

4440 N 36TH ST, 240
PHOENIX, AZ 85018

Maricopa County (602) 956-4040

MS. EMILY ROSE DEMEULENAERE PT, DPT

Physical Therapist

4440 N 36TH ST, SUITE 240
PHOENIX, AZ 85018

Maricopa County (602) 956-4040

NATHAN JOHN SNELL P.T., D.P.T.,C.S.C.S

Physical Therapist

4440 N 36TH ST, SUITE 240
PHOENIX, AZ 85018

Maricopa County (602) 956-4040

DR. KATHRYN JANET ELLIS DPT

Physical Therapist

4440 N 36TH ST
PHOENIX, AZ 85018

Maricopa County (602) 956-4040

AKEISHA AYANNIYI PT, DPT

Physical Therapist

4440 N 36TH ST
PHOENIX, AZ 85018

Maricopa County (602) 956-4040

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 Cucchetti Orthopedics And Sports Medicine's NPI number?

The NPI number for Cucchetti Orthopedics And Sports Medicine is 1255734919. It was assigned to this organization in the NPPES registry on October 8, 2014.

Where is Cucchetti Orthopedics And Sports Medicine located?

Cucchetti Orthopedics And Sports Medicine is located at 4440 N 36th St Suite 100, Phoenix, AZ 85018. The listed phone number is (602) 952-8111.

What is Cucchetti Orthopedics And Sports Medicine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Cucchetti Orthopedics And Sports Medicine was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.