Ignite Physical Therapy PLC
NPI 1861820508 · Physical Therapist · Chandler, AZ
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1861820508
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tara Poloni, Office Manager(480) 883-0202
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
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
3 documented practice locations
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
Additional practice locations (2)
- 4949 S Arizona Ave Ste 3Chandler, AZ 85248-2714Phone: (480) 883-0202Fax: (480) 883-0303
- 3875 E Williams Field Rd Ste 205Gilbert, AZ 85295-8700Phone: (480) 883-0202Fax: (480) 883-0303
Registry dates
- Enumerated
- 2013-10-15
- Last updated
- 2024-04-23
- Certified
- 2024-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.