MEDICARE: NORTHERN ARIZONA ORTHOSPORTS PHYSICAL THERAPY INC

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1922084243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN ARIZONA ORTHOSPORTS PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	PO BOX 28042
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86312-8042
Country	:	US
Telephone Number	:	928-775-2765
Fax Number	:	928-772-9170

Provider Business Practice Location Address
First Line	:	2485 N GREAT WESTERN DR
Second Line	:	F2
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-6528
Country	:	US
Telephone Number	:	928-775-2765
Fax Number	:	928-772-9170

Authorized Official
Title or Position	:	SECRETARY TREASUERER
Name	:	JAMES LEE MISSEY
Credential	:	PT
Telephone Number	:	928-775-2765

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	10/15/2007

Similar Medicare Providers

1417907684 — CAROL A WEITKUNAT P.T.
Practice Location Address:

2485 N GREAT WESTERN DR , SUITE F2
PRESCOTT VALLEY, AZ
86314-6528

Practice Phone: 928-775-2765
Practice Fax: 928-772-9170

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1255337713 — RONALD D RICHMOND M.D.
Practice Location Address:

26991 CROWN VALLEY PKWY
MISSION VIEJO, CA
92691-6528

Practice Phone: 949-582-5430
Practice Fax: 949-348-9513

1386640746 — STEFANIE JILL FIGHTLIN DO
Practice Location Address:

26991 CROWN VALLEY PKWY
MISSION VIEJO, CA
92691-6528

Practice Phone: 949-582-5430
Practice Fax: 949-348-9513

1235110446 — VALLEY OPTICIANS INC.
Practice Location Address:

780 NW GARDEN VALLEY BLVD , SUITE 50B-1
ROSEBURG, OR
97470-6528

Practice Phone: 541-672-5400
Practice Fax:

1063469229 — BRISTOL PARK MEDICAL GROUP, INC
Practice Location Address:

26991 CROWN VALLEY PKWY
MISSION VIEJO, CA
92691-6528

Practice Phone: 949-582-2002
Practice Fax: 949-367-5200

Directions to “NORTHERN ARIZONA ORTHOSPORTS PHYSICAL THERAPY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.