NPI 1306369905 · live from the CMS NPI Registry
Accelerated Rehabilitation Centers Of Phoenix LLC
Clinic/Center in Avondale, AZ. National Provider Identifier 1306369905, active.
NPI record
| NPI | 1306369905 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center 261Q00000X |
| Practice location | 3145 N Dysart Rd Ste 109, Avondale, AZ 85392 |
| Practice phone | 623-522-8491 |
| Mailing address | 625 Enterprise Dr, Oak Brook, IL 60523 |
| Enumerated | July 25, 2017 |
| Last updated | July 26, 2017 |
| Authorized official | Gerri Cook, Vice President Of Billing Operatio |
| Other names | Athletico Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — (AZ) |
| Occupational Therapist | 225X00000X | — (AZ) |
| Clinic/Center primary | 261Q00000X | — (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.