NPI 1881697597 · live from the CMS NPI Registry
Robert Corey Addicott, P.T.
Physical Therapist, Orthopedic in Glendale, AZ. National Provider Identifier 1881697597, active.
NPI record
| NPI | 1881697597 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Orthopedic 2251X0800X |
| Practice location | 20325 N 51st Ave Ste 150, Glendale, AZ 85308 |
| Practice phone | 602-385-2115 |
| Mailing address | 18444 N 25th Ave, Suite 310, Phoenix, AZ 85023 |
| Enumerated | May 27, 2005 |
| Last updated | August 10, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Orthopedic primary | 2251X0800X | 5198 (AZ) |
| Physical Therapist | 225100000X | 5198 (AZ) |
| Physical Therapist, Sports | 2251S0007X | 5198 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.