MEDICARE: MARCO A MACHADO PT

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	LPT-31882	AZ

General Provider Information

NPI Number	:	1396404042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCO A MACHADO PT

Provider Business Mailing Address
First Line	:	8010 E MCDOWELL RD STE 113
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3868
Country	:	US
Telephone Number	:	480-569-2442
Fax Number	:	480-569-2643

Provider Business Practice Location Address
First Line	:	8010 E MCDOWELL RD STE 113
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3868
Country	:	US
Telephone Number	:	480-569-2442
Fax Number	:	480-569-2643

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2021
Last Update Date	:	05/05/2023

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Directions to “ MARCO A MACHADO PT” Practice Location

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