BHSM Rehabilitation, LLC
Organization Active NPI Physical Therapy Clinic/Center · Flagstaff, AZ
NPI 1356932602 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1356932602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- BHSM REHABILITATION, LLC
- Practice address
- 5200 E Cortland Blvd Ste C1
Flagstaff, AZ 86004-9341 - Phone
- (717) 972-1100
- NPI assigned
- Jan 29, 2021
- 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
Practitioners 9
-
Kelly K. Fosberg, PT, DPT, PHD, OCS
-
Alanna Orlando, PT, DPT
-
Katie Elizabeth Pierce, PT, DPT
-
Jennifer Lynn Schreiber, P.T.
-
Rachel Munnett, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled 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… |
National Provider Directory
- Tax ID family
- Banner Physical Therapy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
5200 E Cortland Blvd Ste C1
Flagstaff, AZ 86004-9341
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other names
- Banner Physical Therapy
Other providers in Flagstaff, AZ
- Beyond the Basics
- Beyond the Basics
- Beyond the Pines
- Nina Vidya Bharadwaj
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC
- Brianna Biddle
All providers in Flagstaff, 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 Aug 20, 2026. 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.