NPI 1265521702 · live from the CMS NPI Registry
Adebola Adekanmbi, PT
Physical Therapist in Phoenix, AZ. National Provider Identifier 1265521702, active.
NPI record
| NPI | 1265521702 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 8433 N Black Canyon Hwy, Phoenix, AZ 85021 |
| Practice phone | 623-939-3112 |
| Mailing address | Po Box 39717, Phoenix, AZ 85069 |
| Enumerated | October 12, 2006 |
| Last updated | June 4, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Geriatrics | 2251G0304X | 3951 (AZ) |
| Physical Therapist, Neurology | 2251N0400X | 3951 (AZ) |
| Physical Therapist, Pediatrics | 2251P0200X | 3951 (AZ) |
| Physical Therapist primary | 225100000X | 3951 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.