MEDICARE: ABSOLUTE PHYSICAL THERAPY, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		AZ

General Provider Information

NPI Number	:	1174586580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	3130 E UNION HILLS DR
Second Line	:	SUITE 109
City	:	PHOENIX
State	:	AZ
Zip	:	85050-3400
Country	:	US
Telephone Number	:	602-867-2121
Fax Number	:	602-867-2424

Provider Business Practice Location Address
First Line	:	3130 E UNION HILLS DR
Second Line	:	SUITE 109
City	:	PHOENIX
State	:	AZ
Zip	:	85050-3400
Country	:	US
Telephone Number	:	602-867-2121
Fax Number	:	602-867-2424

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHAD REILLY
Credential	:	PT, MPT
Telephone Number	:	602-867-2121

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	07/21/2022

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