Advanced Physical Therapy, PC
Organization Active NPI Physical Therapist · Gilbert, AZ
NPI 1295768836 · NPPES record last updated May 20, 2015
Key facts
- NPI
- 1295768836
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6519 (AZ)
- Legal business name
- ADVANCED PHYSICAL THERAPY, PC
- Practice address
- 3592 S. Atherton Blvd
Suite #3
Gilbert, AZ 85297 - Phone
- (480) 459-5364
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mandy S Aldous, PT
- Title
- Owner/Physical Therapist
- Phone
- (480) 459-5364
Practitioners 5
-
Stephanie Garrison, DPT
-
James Danforth Martin, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060714000027 | AZ | Part B Supplier - Clinic/Group Practice | 7618980780 |
Receives reassigned benefits from 2 practitioners Practice locations: Gilbert, AZ |
National Provider Directory
Locations
3592 S Atherton Blvd
Ste 3
Gilbert, AZ 85297
Phone (480) 459-5364
3592 S Atherton Blvd
Ste 110
Gilbert, AZ 85297
Phone (480) 840-6777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 6519 | AZ | Yes |
Addresses
Primary practice location
3592 S. Atherton Blvd
Suite #3
Gilbert, AZ 85297
Mailing address
4463 E Carriage Way
Gilbert, AZ 85297-5507
Phone (480) 459-5364
Other providers in Gilbert, AZ
- Advanced Laser & Surgicenter of Arizona, PC
- Advanced Laser &Eye Center of Arizona PC
- Advanced Neurologic Rehabilitation
- Advanced Physical Medicine LLC
- Advanced Physical Therapy Concepts
- Advanced Plastic Surgery Institute, PLLC
- Advanced Spine and Pain LLC
- Advanced Wound Institute, LLC
- Advantage ADHD & Psychiatry Services
- Advisacare Hospice LLC
All providers in Gilbert, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2015. 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.