Isabel Gomez, PTA
Individual provider Active NPI Physical Therapy Assistant · Vail, AZ
NPI 1386033892 · NPPES record last updated Jan 21, 2015
Key facts
- NPI
- 1386033892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 9492A (AZ)
- Practice address
- 9628 S Via Bandera
Vail, AZ 85641-2163 - Phone
- (520) 449-6897
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9492A | AZ | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 9492A | AZ | Yes |
Addresses
Primary practice location
9628 S Via Bandera
Vail, AZ 85641-2163
Mailing address
9628 S Via Bandera
Vail, AZ 85641-2163
Phone (520) 449-6897
Other providers in Vail, AZ
- Lisa Robin Glass
- Glorious Therapy Services LLC
- Adam Robert Godfrey
- Mark A Goforth
- Sussan Lee Goldsworthy
- Janalee Gordon
- Betty Grant
- Melissa Amber Gummo
- Barbara L Hanisch-Lucas
- Sara Hansen
All providers in Vail, AZ · Physical Therapy Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.