Black Ridge Physical Therapy, PLC
NPI 1649698945 · Physical Therapy Clinic/Center · Saint Johns, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Ridge Physical Therapy, PLC is a Physical Therapy Clinic/Center organization in Saint Johns, AZ (NPI 1649698945).
Provider details
- NPI number
- 1649698945
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carl Wiltbank, Owner(928) 337-3020
- License
- 8544 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-04-03
- Last updated
- 2014-06-16
Frequently asked questions
- What is Black Ridge Physical Therapy, PLC's NPI number?
- Black Ridge Physical Therapy, PLC's National Provider Identifier (NPI) is 1649698945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Ridge Physical Therapy, PLC?
- Black Ridge Physical Therapy, PLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Black Ridge Physical Therapy, PLC located?
- Black Ridge Physical Therapy, PLC's practice location on file with NPPES is 80 S 13th West, Saint Johns, AZ 85936.
- What is Black Ridge Physical Therapy, PLC's phone number?
- The practice phone number listed in the NPPES registry for Black Ridge Physical Therapy, PLC is (928) 337-3020.
- Does Black Ridge Physical Therapy, PLC accept Medicare?
- Black Ridge Physical Therapy, PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Ridge Physical Therapy, PLC?
- The authorized official listed on Black Ridge Physical Therapy, PLC's NPPES record is Carl Wiltbank, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Ridge Physical Therapy, PLC's NPI active?
- Yes — Black Ridge Physical Therapy, PLC's NPI (1649698945) is active in the NPPES registry as of the last update on 2014-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.