MEDICARE: CONTACT PHYSICAL THERAPY SCOTTSDALE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	225XH1200X	Hand Occupational Therapist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1871533125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTACT PHYSICAL THERAPY SCOTTSDALE

Provider Business Mailing Address
First Line	:	4850 E BASELINE RD
Second Line	:	SUITE 114
City	:	MESA
State	:	AZ
Zip	:	85206-4625
Country	:	US
Telephone Number	:	480-396-2781
Fax Number	:	480-854-3094

Provider Business Practice Location Address
First Line	:	10304 N HAYDEN RD
Second Line	:	SUITE 120
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-1217
Country	:	US
Telephone Number	:	480-429-5266
Fax Number	:	480-429-5297

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	MR. DAVID WASSERBECK
Credential	:	PT
Telephone Number	:	480-396-2781

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	08/12/2013

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Directions to “CONTACT PHYSICAL THERAPY SCOTTSDALE ” Practice Location

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