MEDICARE: GMCLARTY ENTERPRISES LLC

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

General Provider Information

NPI Number	:	1679036800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GMCLARTY ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	36902 N ALEUTIAN DR
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-1469
Country	:	US
Telephone Number	:	480-474-4921
Fax Number	:	480-447-4983

Provider Business Practice Location Address
First Line	:	1425 W 14TH ST STE 101
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85281-6908
Country	:	US
Telephone Number	:	480-474-4921
Fax Number	:	480-447-4983

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	GREGORY A MCLARTY
Credential	:	PT, DPT
Telephone Number	:	480-227-5639

Provider Enumeration Date	:	04/14/2019
Last Update Date	:	01/05/2026

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Directions to “GMCLARTY ENTERPRISES LLC ” Practice Location

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