Healthcare Provider Details

I. General information

NPI: 1871533125
Provider Name (Legal Business Name): CONTACT PHYSICAL THERAPY SCOTTSDALE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 08/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10304 N HAYDEN RD SUITE 120
SCOTTSDALE AZ
85258-1217
US

IV. Provider business mailing address

4850 E BASELINE RD SUITE 114
MESA AZ
85206-4625
US

V. Phone/Fax

Practice location:
  • Phone: 480-429-5266
  • Fax: 480-429-5297
Mailing address:
  • Phone: 480-396-2781
  • Fax: 480-854-3094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID WASSERBECK
Title or Position: PRINCIPAL
Credential: PT
Phone: 480-396-2781