Healthcare Provider Details

I. General information

NPI: 1801730890
Provider Name (Legal Business Name): PINNACLE OHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4836 E MCDOWELL RD STE 101
PHOENIX AZ
85008-7713
US

IV. Provider business mailing address

4836 E MCDOWELL RD STE 101
PHOENIX AZ
85008-7713
US

V. Phone/Fax

Practice location:
  • Phone: 480-670-7333
  • Fax:
Mailing address:
  • Phone: 480-670-7333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. BRIAN FORTE
Title or Position: OWNER
Credential: PT, DPT
Phone: 724-554-5546