NPI Code Details Logo

NPI 1356017719

NPI 1356017719 : CADE JOSEPH PARKER PT, DPT : LITCHFIELD PARK, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1356017719
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CADE JOSEPH PARKER PT, DPT
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/17/2021
-----------------------------------------------------
    Last Update Date     |    02/02/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4175 N PIONEER DR STE 101A 
-----------------------------------------------------
    City                 |    LITCHFIELD PARK
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85340-5646
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    623-289-0211
-----------------------------------------------------
    Fax                  |    623-289-1593
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4175 N PIONEER DR STE 101A 
-----------------------------------------------------
    City                 |    LITCHFIELD PARK
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85340-5646
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    623-330-6609
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
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       |    31950
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.