Healthcare Provider Details

I. General information

NPI: 1427667468
Provider Name (Legal Business Name): JEFFREY RYAN POSTERICK PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24142 N 166TH CT
SURPRISE AZ
85387-1459
US

IV. Provider business mailing address

24142 N 166TH CT
SURPRISE AZ
85387-1459
US

V. Phone/Fax

Practice location:
  • Phone: 480-712-9557
  • Fax:
Mailing address:
  • Phone: 763-607-6910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number31299
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: