Healthcare Provider Details

I. General information

NPI: 1033737119
Provider Name (Legal Business Name): ONOFRAY PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2418 W BENT TREE DR
PHOENIX AZ
85085-4738
US

IV. Provider business mailing address

2418 W BENT TREE DR
PHOENIX AZ
85085-4738
US

V. Phone/Fax

Practice location:
  • Phone: 314-265-2688
  • Fax:
Mailing address:
  • Phone: 314-265-2688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251H1300X
TaxonomyHuman Factors Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MEGAN ONOFRAY
Title or Position: PHYSICAL THERAPIST, OWNER
Credential: PT
Phone: 314-265-1688