MEDICARE: ARIZONA'S PREMIER PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	2251G0304X	Geriatric Physical Therapist
3	2251N0400X	Neurology Physical Therapist
4	2251P0200X	Pediatric Physical Therapist
5	2251S0007X	Sports Physical Therapist
6	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1124215231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA'S PREMIER PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	1118 N RECKER RD
Second Line	:	SUITE 109
City	:	MESA
State	:	AZ
Zip	:	85205-5504
Country	:	US
Telephone Number	:	480-833-2778
Fax Number	:	480-833-0232

Provider Business Practice Location Address
First Line	:	1118 N RECKER RD
Second Line	:	SUITE 109
City	:	MESA
State	:	AZ
Zip	:	85205-5504
Country	:	US
Telephone Number	:	480-833-2778
Fax Number	:	480-833-0232

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. LINDA SLADE
Credential	:
Telephone Number	:	480-833-2778

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	11/04/2014

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