Healthcare Provider Details

I. General information

NPI: 1023358512
Provider Name (Legal Business Name): THERAPY ACCOMPLISHED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2013
Last Update Date: 02/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11071 S CAMELBACK ROAD
YUCCA AZ
86438-0155
US

IV. Provider business mailing address

PO BOX 155
YUCCA AZ
86438-0155
US

V. Phone/Fax

Practice location:
  • Phone: 928-279-3652
  • Fax: 888-446-5008
Mailing address:
  • Phone: 928-279-3652
  • Fax: 888-446-5008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICIA L MCNEIL
Title or Position: OWNER/ PHYSICAL THERAPIST
Credential: PT
Phone: 928-279-3652