MEDICARE: AMY SCHALLETT 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	13010	AZ

General Provider Information

NPI Number	:	1750819108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY SCHALLETT PT

Provider Business Mailing Address
First Line	:	14287 N 87TH ST STE 220
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-3698
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15255 N 40TH ST STE 123
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4638
Country	:	US
Telephone Number	:	480-502-5361
Fax Number	:

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

Provider Enumeration Date	:	05/30/2017
Last Update Date	:	06/09/2025

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Directions to “ AMY SCHALLETT PT” Practice Location

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