BLACK RIDGE PHYSICAL THERAPY, PLC
NPI 1649698945
Clinic/Center - Physical Therapy in Saint Johns, AZ

Active since April 03, 2014
80 S 13TH WEST, SAINT JOHNS, AZ 85936(928) 337-3020(928) 337-3979 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Black Ridge Physical Therapy, Plc NPPES

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

BLACK RIDGE PHYSICAL THERAPY, PLC (NPI 1649698945) is a healthcare organization registered as a physical therapy in Saint Johns, Arizona and active in the NPI registry since April 2014. The organization lists Carl S Wiltbank, Owner, as its authorized official.

NPPES Registry Identity

NPI1649698945
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameBLACK RIDGE PHYSICAL THERAPY, PLC
Location Address80 S 13TH WESTSaint Johns, AZ 85936
Mailing AddressPo Box 824Saint Johns, AZ 85936-0824 · (928) 337-3020 · Fax (928) 337-3979
Fax(928) 337-3979
Organization SubpartNo
Authorized OfficialCarl S WiltbankOwner · (928) 337-3020
Enumeration DateApril 3, 2014
Last NPPES UpdateJune 16, 2014
NPI 1649698945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in AZ · 8544
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.

80 S 13TH WEST, Saint Johns, AZ 85936

Other Identifiers 2

Medicaid443777AZ
OtherZ131189AZ · Medicare

Accepted Insurance

Other Providers at the Same Location NPPES

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

Physical Therapist
80 S 13TH WEST
ST. JOHNS, AZ 85936

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 Black Ridge Physical Therapy, Plc's NPI number?

The NPI number for Black Ridge Physical Therapy, Plc is 1649698945. It was assigned to this organization in the NPPES registry on April 3, 2014.

Where is Black Ridge Physical Therapy, Plc located?

Black Ridge Physical Therapy, Plc is located at 80 S 13th West, Saint Johns, AZ 85936. The listed phone number is (928) 337-3020.

What is Black Ridge Physical Therapy, Plc's specialty?

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

What insurance does Black Ridge Physical Therapy, Plc accept?

Health plans from Blue Cross Blue Shield of Arizona list Black Ridge Physical Therapy, Plc 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 Black Ridge Physical Therapy, Plc was last updated on June 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.