Healthcare Provider Details

I. General information

NPI: 1699391185
Provider Name (Legal Business Name): NEXT ERA PHYSICAL THERAPY AZ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2862 N. 58TH CIRCLE SUITE 101
MESA AZ
85215-1176
US

IV. Provider business mailing address

2862 N. 58TH CIRCLE SUITE 101
MESA AZ
85215-1176
US

V. Phone/Fax

Practice location:
  • Phone: 480-493-7859
  • Fax: 720-381-6868
Mailing address:
  • Phone: 480-493-7859
  • Fax: 720-381-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS J THURRLOW
Title or Position: OWNER/CEO
Credential: DPT
Phone: 720-644-0181