Picacho 1, LLC
Picacho 1, LLC is a healthcare organization registered as Physical Therapist in Queen Creek, AZ, holding Type 2 (organization) NPI 1528536554 since 2018. The authorized official on file is Stanley Carr, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1528536554 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Picacho 1, LLC |
| Practice address | 20715 E OCOTILLO RD, SUITE 103, Queen Creek, AZ, 85142 |
| Phone | 4804956574 |
| Fax | 4808881533 |
| Enumeration date | 2018-11-07 |
| Last updated in NPPES | 2018-11-07 |
Authorized official
| Name | Stanley Carr |
|---|---|
| Title | Owner |
| Phone | 4804956574 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | — | — |
Copy-ready billing details
Provider: Picacho 1, LLC NPI: 1528536554 Taxonomy: 225100000X (Physical Therapist) Address: 20715 E OCOTILLO RD, SUITE 103, Queen Creek, AZ, 85142
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1982777553 | Dan Hoag, D.O., Plc | Organization | Family Medicine Physician | Queen Creek, AZ |
| 1346313905 | Daryn Mcclure, M.D., PC | Organization | Family Medicine Physician | Queen Creek, AZ |
| 1841401379 | Spine Orthopedic & Sports Physical Therapy Inc. | Organization | Physical Therapist | Queen Creek, AZ |
| 1407097413 | Darren Elg, O D LLC | Organization | Optometrist | Queen Creek, AZ |
| 1033468202 | Tanya Turner | Individual | Family Nurse Practitioner | Queen Creek, AZ |
Verify this record
Cross-check NPI 1528536554 against the authoritative CMS record: view Picacho 1, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Picacho 1, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-11-07.