Healthcare Provider Details

I. General information

NPI: 1093037111
Provider Name (Legal Business Name): ATS CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2010
Last Update Date: 02/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 E SAHUARO DR
SCOTTSDALE AZ
85254-6181
US

IV. Provider business mailing address

7120 E SAHUARO DR
SCOTTSDALE AZ
85254-6181
US

V. Phone/Fax

Practice location:
  • Phone: 480-488-3946
  • Fax: 480-488-3956
Mailing address:
  • Phone: 480-488-3946
  • Fax: 480-488-3956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number00238
License Number StateAZ

VIII. Authorized Official

Name: MR. JEFFREY JOSEPH BERAN
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 480-488-3946