360 PHYSICAL THERAPY LLC NPI 1992447304

NPI Information

NPI: 1992447304
Provider Name: 360 PHYSICAL THERAPY, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3530 S VAL VISTA DR STE 102
GILBERT, AZ
ZIP 85297
Phone: (408) 726-1818
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360 PHYSICAL THERAPY, LLC is a multi-specialty clinic center in Gilbert, AZ. 360 PHYSICAL THERAPY, LLC NPI is 1992447304. The provider is registered as an organization entity type.

The provider's business location address is:

3530 S VAL VISTA DR STE 102
GILBERT, AZ
ZIP 85297-319
Phone: (408) 726-1818
Fax: (408) 726-2798

The provider's authorized official is Robert Pace .
The authorized official title is Owner And Coo and has the following contact phone number (213) 804-1712.

The enumeration date for this NPI number is 4/7/2022 and was last updated on 4/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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