Healthcare Provider Details

I. General information

NPI: 1356514756
Provider Name (Legal Business Name): STEPHANIE ANN HURTT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE COTTINGHAM

II. Dates (important events)

Enumeration Date: 04/07/2008
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5499
US

IV. Provider business mailing address

11130 E CHOLLA ST
SCOTTSDALE AZ
85259-3922
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-8000
  • Fax:
Mailing address:
  • Phone: 480-882-7520
  • Fax: 480-451-5270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-006334
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: