NPI 1386318699 · live from the CMS NPI Registry
360 Physical Therapy LLC
Physical Therapist in Surprise, AZ. National Provider Identifier 1386318699, active.
NPI record
| NPI | 1386318699 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 11340 W Bell Rd, Surprise, AZ 85378 |
| Practice phone | 623-226-6644 |
| Mailing address | 1076 W Chandler Blvd Ste 103, Chandler, AZ 85224 |
| Enumerated | August 2, 2021 |
| Last updated | December 17, 2021 |
| Authorized official | Cheryl Brunin, Vp Of Revenue Management |
| Other names | 360 Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation | 208100000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.