Healthcare Provider Details
I. General information
NPI: 1679484869
Provider Name (Legal Business Name): BILTMORE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3333 E CAMELBACK RD STE 190
PHOENIX AZ
85018-2396
US
IV. Provider business mailing address
3333 E CAMELBACK RD STE 275
PHOENIX AZ
85018-2386
US
V. Phone/Fax
- Phone: 623-330-7244
- Fax:
- Phone: 623-330-7244
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ROBERT
LESSING
GARRETT
Title or Position: MANAGER
Credential:
Phone: 623-330-7244