MEDICARE: NEXTREP HOME THERAPY

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1821940115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXTREP HOME THERAPY

Provider Business Mailing Address
First Line	:	1507 W SEA FOG DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-0909
Country	:	US
Telephone Number	:	602-535-9181
Fax Number	:

Provider Business Practice Location Address
First Line	:	1507 W SEA FOG DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-0909
Country	:	US
Telephone Number	:	602-535-9181
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	ANGELA ADAM
Credential	:	DPT
Telephone Number	:	480-859-9396

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “NEXTREP HOME THERAPY ” Practice Location

Language	Start Address	Practice Location

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