MEDICARE: TUCSON PHYSICAL THERAPY, PC

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	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245586759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUCSON PHYSICAL THERAPY, PC

Provider Business Mailing Address
First Line	:	15410 S MOUNTAIN PKWY STE 112
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-6691
Country	:	US
Telephone Number	:	480-706-1161
Fax Number	:	480-706-7997

Provider Business Practice Location Address
First Line	:	7601 N ORACLE RD STE 101
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85704-6310
Country	:	US
Telephone Number	:	520-293-5551
Fax Number	:	520-293-6638

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	DENNIS A DRISCOLL
Credential	:	PT
Telephone Number	:	520-670-9558

Provider Enumeration Date	:	08/02/2012
Last Update Date	:	12/16/2017

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