Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shaun A. Koth, PT

Individual provider Physical Therapist · NPI 1912952219

Shaun A. Koth, PT is a Physical Therapist in Private Practice in Surprise, Arizona. Qualified in 1994, 32 years ago. Practices with Spooner Physical Therapy and Hand Rehab, PC, a 200-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
32
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

16968 W Bell Rd # D401
Surprise, AZ 85374-8943
Phone: (623) 299-9190
Fax: (623) 299-9191
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4108 (AZ)

Record details

NPI number1912952219
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address14287 N 87th St Ste 220, Scottsdale, AZ 85260-3698

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Spooner Physical Therapy And Hand Rehab, Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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