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Black Ridge Physical Therapy, Plc

Physical Therapy Clinic/Center in Saint Johns, AZ · enumerated 2014 · authorized official Carl Wiltbank, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649698945

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Registry record

Entity type Organization (Type 2)
Legal business name Black Ridge Physical Therapy, Plc
Practice address 80 S 13th West, Saint Johns, AZ, 85936
Phone (928) 337-3020
Fax (928) 337-3979
Enumeration date Apr 3, 2014
Last updated in NPPES Jun 16, 2014

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 8544 (AZ) Primary

Authorized official

Name Carl Wiltbank
Title Owner
Phone (928) 337-3020

Other identifiers

Identifier Type State Issuer
443777 Medicaid AZ -
Z131189 Other AZ MEDICARE

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.

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Frequently asked questions

Who is the authorized official for Black Ridge Physical Therapy, Plc?
NPPES lists Carl Wiltbank (Owner) as the authorized official for this organization.
What is the NPI number for Black Ridge Physical Therapy, Plc?
The NPI for Black Ridge Physical Therapy, Plc is 1649698945, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-16.