NPI 1295467116 · live from the CMS NPI Registry
360 Physical Therapy LLC
Physical Therapist in Chandler, AZ. National Provider Identifier 1295467116, active.
NPI record
| NPI | 1295467116 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1076 W Chandler Blvd Ste 103, Chandler, AZ 85224 |
| Practice phone | 602-847-2161 |
| Mailing address | 2035 Corte Del Nogal Ste 200, Carlsbad, CA 92011 |
| Enumerated | June 29, 2022 |
| Last updated | June 29, 2022 |
| Authorized official | Robert Pace, Owner |
| Other names | 360 Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Multi-Specialty | 261QM1300X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.