PROACTIVE PHYSICAL AND AQUATIC
NPI 1912067976
Specialist in Scottsdale, AZ
About Proactive Physical And Aquatic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROACTIVE PHYSICAL AND AQUATIC (NPI 1912067976) is a healthcare organization registered as a specialist in Scottsdale, Arizona and active in the NPI registry since December 2006. The organization lists Mindi G Bloomenstein, Physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Proactive Physical And Aquatic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Proactive Physical And Aquatic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Proactive Physical And Aquatic's NPI number?
The NPI number for Proactive Physical And Aquatic is 1912067976. It was assigned to this organization in the NPPES registry on December 11, 2006.
Where is Proactive Physical And Aquatic located?
Proactive Physical And Aquatic is located at 9746 N 90th Pl Suite 103, Scottsdale, AZ 85258. The listed phone number is (480) 443-3534.
What is Proactive Physical And Aquatic's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Proactive Physical And Aquatic enrolled in Medicare?
Yes. Proactive Physical And Aquatic is registered in the Medicare PECOS enrollment system.
When is Proactive Physical And Aquatic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Proactive Physical And Aquatic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Proactive Physical And Aquatic. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Proactive Physical And Aquatic was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Proactive Physical And Aquatic · NPI 1912067976
Specialist organization in Scottsdale, Arizona. Organization record, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1912067976 (Entity type: Organization)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Mindi Bloomenstein, PHYSICAL THERAPIST
## Practice location
- **Address:** 9746 N 90TH PL, SUITE 103, Scottsdale, AZ 85258-5083
- **Phone:** (480) 443-3534 · **Fax:** (480) 367-9515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 24722 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1912067976) · Data from the CMS NPPES public registry.