BHSM Rehabilitation, LLC
Organization Active NPI Physical Therapy Clinic/Center · Phoenix, AZ
NPI 1023619632 · NPPES record last updated Oct 24, 2025
Key facts
- NPI
- 1023619632
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- BHSM REHABILITATION, LLC
- Practice address
- 2222 E Highland Ave Ste 310
Phoenix, AZ 85016-4879 - Phone
- (717) 972-1100
- NPI assigned
- Nov 2, 2020
- Organization subpart
- No
Authorized official
- Name
- John F Duggan
- Title
- Vice President
- Phone
- (717) 972-1100
Other NPIs on the same Medicare enrollment 37
Corporate family (same tax ID) 45
Member of 4
Practitioners 9
-
Andrew Bick, DPT
-
David J Hogarth, PT
-
Cecil E Neal, PT
-
Katrina Kaehr Sage, DPT
-
Kathleen Petkovsky, PT/CHT
-
Sachin Philip, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180306002185 | AZ | Part B Supplier - Clinic/Group Practice | 2062773138 |
Receives reassigned benefits from 345 practitioners 37 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Phoenix, AZ; Queen Creek, AZ; Scottsdale, AZ; Tempe, AZ; Tucson, AZ; Mesa, AZ; Peoria, AZ; Buckeye, AZ… |
| O20210604001749 | AZ | DME Supplier - Independently-Practicing Physical Therapist |
2062773138 | Practice locations: Phoenix, AZ |
National Provider Directory
- Tax ID family
- Banner Physical Therapy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
2222 E Highland Ave Ste 310
Phoenix, AZ 85016-4879
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other providers in Phoenix, AZ
- Moneesh Deepak Bhow
- Amarpreet Bhowra
- Onkar S Bhowra
- BHSM Rehabilitation LLC
- BHSM Rehabilitation LLC
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC
All providers in Phoenix, AZ · Physical Therapy Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.