Healthcare Provider Details

I. General information

NPI: 1407935935
Provider Name (Legal Business Name): PHYSIOTHERAPY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26224 N TATUM BLVD SUITE 11
PHOENIX AZ
85050-7500
US

IV. Provider business mailing address

26224 N TATUM BLVD SUITE 11
PHOENIX AZ
85050-7500
US

V. Phone/Fax

Practice location:
  • Phone: 480-538-1212
  • Fax: 480-538-5656
Mailing address:
  • Phone: 480-538-1212
  • Fax: 480-538-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROB ZIGNEFUS
Title or Position: MANAGER OF PAYER CONTRACTING
Credential:
Phone: 901-685-7227