Hydro Air Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HYDRO AIR PHYSICAL THERAPY PLLC

Practice address

3341 E Queen Creek Rd Ste 103
Gilbert, AZ 85297-8510

Phone

(602) 806-7519

NPI assigned

May 8, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bryce W Petersen, PT, DPTNPI 1053885418

Title

Owner, Physical Therapist

Phone

(480) 586-7654

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryce Petersen, PT, D.P.T.

  • Physical Therapist
  • San Tan Valley, AZ
  • NPI 1053885418
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1528816147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 E QUEEN CREEK RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 E QUEEN CREEK RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978510",
            "telephone_number": "602-806-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRO AIR PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "480-586-7654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Huynh
• Sharran Liesel Huynh, OT
• HW Surgical Assist, PLLC
• Hyadoc Consultants Inc
• Eugene Alan Hyatt, LAC
• Samantha Lynn Hyland, NP
• Joceline Hylton Mendez, LCSW
• Tara Marie Iacono, RPA-C
• Catherine M Iacuzzi
• Liesl B Iaeger, PT, DPT

• Physical Therapy Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.