Healthcare Provider Details

I. General information

NPI: 1699605113
Provider Name (Legal Business Name): ACCIDENT MADE EASY PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 W NORTHERN AVE # A2
PHOENIX AZ
85021-5469
US

IV. Provider business mailing address

1717 W NORTHERN AVE # A2
PHOENIX AZ
85021-5469
US

V. Phone/Fax

Practice location:
  • Phone: 301-325-7188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MONI SANUSI
Title or Position: DIRECTOR
Credential: PT
Phone: 301-325-7188