Healthcare Provider Details

I. General information

NPI: 1699391185
Provider Name (Legal Business Name): NEXT ERA PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 06/19/2020
Certification Date: 06/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6965 S PRIEST DR STE 5
TEMPE AZ
85283-4335
US

IV. Provider business mailing address

6851 S HOLLY CIR STE 110
CENTENNIAL CO
80112-1050
US

V. Phone/Fax

Practice location:
  • Phone: 720-644-0181
  • Fax: 720-381-6868
Mailing address:
  • Phone: 720-644-0181
  • Fax: 720-381-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DELYNN ALLYN
Title or Position: OFFICE/BILLING MANAGER
Credential:
Phone: 720-644-0181