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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.

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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?
The practice location on file with NPPES is in Queen Creek, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-11-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-11-07.