MEDICARE: PHILIP FRIEDRICH

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	:	1750244257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP FRIEDRICH

Provider Business Mailing Address
First Line	:	17792 W PARADISE LN
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85388-1757
Country	:	US
Telephone Number	:	726-202-3039
Fax Number	:	210-978-5592

Provider Business Practice Location Address
First Line	:	13794 W WADDELL RD STE 204&205
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-8499
Country	:	US
Telephone Number	:	623-224-2161
Fax Number	:	623-224-2162

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	05/01/2026

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Directions to “ PHILIP FRIEDRICH ” Practice Location

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