MEDICARE: DR. AMBER L ENRIGHT PT, DPT

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	9853	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9853	OTHER	AZ	ARIZONA BOARD OF PHYSICAL THERAPY LICENSE NUMBER

General Provider Information

NPI Number	:	1871022210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER L ENRIGHT PT, DPT

Provider Business Mailing Address
First Line	:	1675 E MORTEN AVE UNIT 4155
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-4747
Country	:	US
Telephone Number	:	480-797-1403
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 E MORTEN AVE
Second Line	:	4155
City	:	PHOENIX
State	:	AZ
Zip	:	85020
Country	:	US
Telephone Number	:	480-797-1403
Fax Number	:

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

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	07/21/2022

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