Arizona Therapeutic Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10792 Issued in AZ

Legal business name

ARIZONA THERAPEUTIC WELLNESS

Doing business as

Aqua Therapy Clinics

Practice address

2571 S Val Vista Dr
101
Gilbert, AZ 85295-6232

Phone

(480) 773-7766

Fax

(480) 773-6737

NPI assigned

Sep 24, 2014

Last updated

Aug 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark L Ector

Title

Coo

Phone

(480) 773-7766

Specialties & licenses 1

Addresses

Other names 1

• AQUA THERAPY CLINICS Doing business as

Locations

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1821490525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 S VAL VISTA DR",
            "address_2": "101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956232",
            "telephone_number": "480-773-7766",
            "fax_number": "480-773-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 S VAL VISTA DR",
            "address_2": "101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956232",
            "telephone_number": "480-773-7766",
            "fax_number": "480-773-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA THERAPEUTIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "ECTOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-773-7766"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AQUA THERAPY CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.