PHYSIO SHOP FLAGSTAFF LLC
NPI 1407674872
Clinic/Center - Physical Therapy in Flagstaff, AZ

Active since October 02, 2024
1510 S RIORDAN RANCH ST, FLAGSTAFF, AZ 86001(928) 214-7303 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2024, Oct 2, 2024 (2 updates tracked since 2024).

About Physio Shop Flagstaff Llc NPPES

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

PHYSIO SHOP FLAGSTAFF LLC (NPI 1407674872) is a healthcare organization registered as a physical therapy in Flagstaff, Arizona and active in the NPI registry since October 2024. The organization lists Jason Christopher Dorsch, Managing Member/phyiscal Therapist, as its authorized official.

NPPES Registry Identity

NPI1407674872
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePHYSIO SHOP FLAGSTAFF LLC
Location Address1510 S RIORDAN RANCH STFlagstaff, AZ 86001-6372
Mailing Address1510 S Riordan Ranch StFlagstaff, AZ 86001-6372 · (928) 214-7303
Organization SubpartNo
Authorized OfficialJason Christopher DorschManaging Member/phyiscal Therapist · (928) 214-7303
Enumeration DateOctober 2, 2024
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1407674872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1510 S RIORDAN RANCH ST, Flagstaff, AZ 86001

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physio Shop Flagstaff Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Physio Shop Flagstaff LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Physical Therapist in Private Practice
NPI 1023328804
1510 S RIORDAN RANCH ST
Flagstaff, AZ 86001
(928) 214-7303
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1982235792
1510 S RIORDAN RANCH ST
Flagstaff, AZ 86001
(928) 214-7303
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1801586169
3080 W BRENDA LOOP
Flagstaff, AZ 86001
(480) 459-8451
✔ Accepts Medicare3.5 mi
Physical Therapist in Private Practice
NPI 1285404384
221 W SECOND ST
Winslow, AZ 86047
(928) 289-4378
✔ Accepts Medicare55 mi
Physical Therapist in Private Practice
NPI 1669125191
7540 N 19TH AVE
Phoenix, AZ 85021
(888) 873-4221
✔ Accepts Medicare116 mi
Physical Therapist in Private Practice
NPI 1073194205
7540 N 19TH AVE STE 200
Phoenix, AZ 85021
(888) 873-4221
✔ Accepts Medicare116 mi
Physical Medicine and Rehabilitation
NPI 1285443820
2283 E 17TH ST
Idaho Falls, ID 83404
(208) 710-7799
✔ PECOS✔ Accepts Medicare573 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 Physio Shop Flagstaff LLC's NPI number?

The NPI number for Physio Shop Flagstaff LLC is 1407674872. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Physio Shop Flagstaff LLC located?

Physio Shop Flagstaff LLC is located at 1510 S Riordan Ranch St, Flagstaff, AZ 86001. The listed phone number is (928) 214-7303.

What is Physio Shop Flagstaff LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Physio Shop Flagstaff LLC enrolled in Medicare?

Yes. Physio Shop Flagstaff LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physio Shop Flagstaff LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Physio Shop Flagstaff 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. The largest specialties are Physical Therapist in Private Practice (6) and Physical Medicine and Rehabilitation (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Physio Shop Flagstaff LLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Physio Shop Flagstaff LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Physio Shop Flagstaff LLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.