NPI 1164901526 · live from the CMS NPI Registry
Timothy Owen Adornetto, PT, DPT
Physical Therapist in Surprise, AZ. National Provider Identifier 1164901526, active.
NPI record
| NPI | 1164901526 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 16572 W Greenway Rd Ste 103, Surprise, AZ 85388 |
| Practice phone | 623-584-3400 |
| Enumerated | August 7, 2018 |
| Last updated | August 7, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 30155 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.