Healthcare Provider Details

I. General information

NPI: 1982726816
Provider Name (Legal Business Name): BEYOND LIMITATIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6448 S. MCCLINTOCK DRIVE
TEMPE AZ
85283
US

IV. Provider business mailing address

P.O. BOX 11076
TEMPE AZ
85284-0018
US

V. Phone/Fax

Practice location:
  • Phone: 602-750-6778
  • Fax: 480-820-5958
Mailing address:
  • Phone: 602-750-6778
  • Fax: 480-820-5958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number2476
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License Number2476
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2476
License Number StateAZ

VIII. Authorized Official

Name: BRENDA L. HUBBELL
Title or Position: PRESIDENT/OWNER
Credential: MS, OTR/L, CEES
Phone: 602-750-6778