MEDICARE: APEX PHYSSICAL 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	261QP2000X	Physical Therapy Clinic/Center	5510	AZ
2	261QP2000X	Physical Therapy Clinic/Center	5210	AZ

General Provider Information

NPI Number	:	1871555698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX PHYSSICAL THERAPY

Provider Business Mailing Address
First Line	:	6320 W UNION HILLS DR
Second Line	:	SUITE 265
City	:	GLENDALE
State	:	AZ
Zip	:	85308-1096
Country	:	US
Telephone Number	:	623-374-2424
Fax Number	:	623-374-2619

Provider Business Practice Location Address
First Line	:	6320 W UNION HILLS DR
Second Line	:	SUITE 265
City	:	GLENDALE
State	:	AZ
Zip	:	85308-1096
Country	:	US
Telephone Number	:	623-374-2424
Fax Number	:	623-374-2619

Authorized Official
Title or Position	:	OWNER
Name	:	EDWARD JAMES LIHVARCHIK
Credential	:	PT
Telephone Number	:	623-374-2424

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

6320 W UNION HILLS DR BLDG B
GLENDALE, AZ
85308-1096

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Practice Location Address:

6320 W UNION HILLS DR , BUILDING A, SUITE 110
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85308-1096

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1194781435 — SUE HIMMELBERGER WHC-NP
Practice Location Address:

6320 W UNION HILLS DR , SUITE 1400B
GLENDALE, AZ
85308-1096

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1285746149 — ANDREA CONNER MPH, RD, CDE, CFT
Practice Location Address:

6320 W UNION HILLS DR , SUITE 1500B
GLENDALE, AZ
85308-1096

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1407947104 — KIMBERLY D VANA FNP
Practice Location Address:

6320 W UNION HILLS DRIVE , BLDG B SUITE 1000
GLENDALE, AZ
85308-1096

Practice Phone: 623-328-5908
Practice Fax: 480-830-3901

Directions to “APEX PHYSSICAL THERAPY ” Practice Location

Language	Start Address	Practice Location

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