MEDICARE: FULL CIRCLE PHYSICAL THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1265289466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FULL CIRCLE PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	2629 W WINDSTAR PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713-1105
Country	:	US
Telephone Number	:	480-216-9162
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 E FORT LOWELL RD STE 210
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2366
Country	:	US
Telephone Number	:	480-222-6216
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	ALYSSON STRINER
Credential	:	PT
Telephone Number	:	480-216-9162

Provider Enumeration Date	:	05/04/2024
Last Update Date	:	12/19/2024

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