Active NPI
Pro Health Therapy Services, LLC
- Home Health Agency
- Gilbert, AZ
National Provider Identifier
1982637252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2274
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Erica T Palacios, OTR/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Gilbert, AZ
- NPI 1700805413
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.