Healthcare Provider Details

I. General information

NPI: 1689740680
Provider Name (Legal Business Name): VERTEX PHYSICAL THERAPY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9364 E RAINTREE DR SUITE 109
SCOTTSDALE AZ
85260-2200
US

IV. Provider business mailing address

9364 E RAINTREE DR SUITE 109
SCOTTSDALE AZ
85260-2200
US

V. Phone/Fax

Practice location:
  • Phone: 480-661-1124
  • Fax: 480-661-1125
Mailing address:
  • Phone: 480-661-1124
  • Fax: 480-661-1125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberAZ3847
License Number StateAZ

VIII. Authorized Official

Name: MS. MARY ANN THODE
Title or Position: PRESIDENT
Credential: PT,MPT
Phone: 480-661-1124