360 Physical Therapy, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

360 PHYSICAL THERAPY, LLC

Practice address

3530 S Val Vista Dr Ste 102
Gilbert, AZ 85297-7319

Phone

(408) 726-1818

Fax

(408) 726-2798

NPI assigned

Apr 7, 2022

Organization subpart

No

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

Authorized official

Name

Robert Pace

Title

Owner and Coo

Phone

(213) 804-1712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1992447304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 W CHANDLER BLVD STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977319",
            "telephone_number": "408-726-1818",
            "fax_number": "408-726-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER AND COO",
        "authorized_official_telephone_number": "213-804-1712"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC
• 2 Hearts Home Health Care LLC
• 24 Hour Lab Test Inc.
• 360 Physical Therapy LLC
• 360 Physical Therapy LLC
• 360Care
• 365 Hilltop LLC
• 4 Peaks Body Therapy LLC
• A Broader Approach, L.L.C.
• A Family Works, Counseling PLLC

• All providers in Gilbert, AZ
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.