Healthcare Provider Details

I. General information

NPI: 1841431004
Provider Name (Legal Business Name): ALPHA PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2009
Last Update Date: 02/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4955 S ALMA SCHOOL RD SUITE 10
CHANDLER AZ
85248
US

IV. Provider business mailing address

PO BOX 12377 SUITE 10
CHANDLER AZ
85248
US

V. Phone/Fax

Practice location:
  • Phone: 480-812-1800
  • Fax: 480-812-1839
Mailing address:
  • Phone: 480-812-1800
  • Fax: 480-812-1839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateAZ

VIII. Authorized Official

Name: CARSON DAVID ROBERTSON
Title or Position: OWNER PROVIDER
Credential: DC
Phone: 480-812-1800