=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013681014
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ADAM REED DPT
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2021
-----------------------------------------------------
Last Update Date | 05/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25101 N LAKE PLEASANT PKWY STE B1340
-----------------------------------------------------
City | PEORIA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85383-1386
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-471-5550
-----------------------------------------------------
Fax | 623-471-5551
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14287 N 87TH ST STE 220
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85260-3698
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-329-8250
-----------------------------------------------------
Fax | 480-565-1898
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | LPT-32069
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------