NPI 1154728350 · live from the CMS NPI Registry
360 Physical Therapy, LLC
Physical Therapist in Maricopa, AZ. National Provider Identifier 1154728350, active.
NPI record
| NPI | 1154728350 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 21083 N John Wayne Pkwy, C103/C104, Maricopa, AZ 85139 |
| Practice phone | 480-821-1997 |
| Enumerated | December 3, 2014 |
| Last updated | December 3, 2014 |
| Authorized official | Cheryl Brunin, Admin Operations Director |
| Other names | 360 Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.