MEDICARE: REBOUND 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

General Provider Information

NPI Number	:	1649325606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBOUND PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	7430 E PINNACLE PEAK RD
Second Line	:	SUITE 138
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-3630
Country	:	US
Telephone Number	:	480-502-4324
Fax Number	:	480-502-1397

Provider Business Practice Location Address
First Line	:	7430 E PINNACLE PEAK RD
Second Line	:	SUITE 138
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-3630
Country	:	US
Telephone Number	:	480-502-4324
Fax Number	:	480-502-1397

Authorized Official
Title or Position	:	OWNER OFFICE MANAGER
Name	:	MRS. LESLIE CADBY
Credential	:
Telephone Number	:	602-499-1082

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	12/22/2011

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