Organization Active NPI

Pro Health Therapy Services, LLC

  • Home Health Agency
  • Gilbert, AZ
National Provider Identifier
1982637252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2274 Issued in AZ
Legal business name
PRO HEALTH THERAPY SERVICES, LLC
Practice address
644 W Comstock Dr
Gilbert, AZ 85233-5804
Phone
(602) 206-7687
Fax
(480) 813-0489
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Erica T Palacios, OTR/LNPI 1700805413
Title
Otr/L, President
Phone
(602) 206-7687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2274 AZ Primary

Addresses

Primary practice location

644 W Comstock Dr
Gilbert, AZ 85233-5804

Mailing address

644 W Comstock Dr
Gilbert, AZ 85233-5804
Phone (602) 206-7687

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982637252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 W COMSTOCK DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335804",
            "telephone_number": "602-206-7687",
            "fax_number": "480-813-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 W COMSTOCK DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335804",
            "telephone_number": "602-206-7687",
            "fax_number": "480-813-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OTR/L, PRESIDENT",
        "authorized_official_telephone_number": "602-206-7687",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "2274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.