NPI 1164790481 · live from the CMS NPI Registry
Ahwatukee Physical Therapy INC
Physical Therapist in Phoenix, AZ. National Provider Identifier 1164790481, active.
NPI record
| NPI | 1164790481 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4425 E Agave Rd Ste 100, Phoenix, AZ 85044 |
| Practice phone | 480-785-1043 |
| Enumerated | December 1, 2011 |
| Last updated | March 9, 2020 |
| Authorized official | Eric Burness, President |
| Other names | Ahwatukee Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.