Healthcare Provider Details

I. General information

NPI: 1689505927
Provider Name (Legal Business Name): EMMET J. FLOOD DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4045 E BELL RD STE 150
PHOENIX AZ
85032-2239
US

IV. Provider business mailing address

29777 N 71ST DR
PEORIA AZ
85383-3086
US

V. Phone/Fax

Practice location:
  • Phone: 602-992-8352
  • Fax: 602-992-5557
Mailing address:
  • Phone: 520-256-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-034688
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: