| Petkov Bodywork Therapy, Llc | |
|
5168 W Augusta Ave, Glendale, AZ 85301-1469 | |
| (480) 269-5029 | |
| (480) 389-3047 |
| Full Name | Petkov Bodywork Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 5168 W Augusta Ave, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386271690 | NPI | - | NPPES |
| 1245613553 | Other | AZ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Susan M Dungan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992765309 PECOS PAC ID: 5395067359 Enrollment ID: I20141202000016 |
| Provider Name | Holly Ann Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144436684 PECOS PAC ID: 4688628639 Enrollment ID: I20151120001152 |
| Provider Name | Allisynn M Powell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932733458 PECOS PAC ID: 6406285998 Enrollment ID: I20200403003092 |
| Provider Name | Rumen Antoniev Petkov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245613553 PECOS PAC ID: 9739519356 Enrollment ID: I20200430000115 |
| Provider Name | Bryson J Creer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689251506 PECOS PAC ID: 3577963784 Enrollment ID: I20210609002530 |
| Provider Name | Paulina Wolska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457928079 PECOS PAC ID: 7012310345 Enrollment ID: I20210726000141 |
| Provider Name | Dillian Wayne Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518633031 PECOS PAC ID: 9537567789 Enrollment ID: I20211001002670 |
| Provider Name | Kristin Clough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598137234 PECOS PAC ID: 3971995630 Enrollment ID: I20220110002124 |
| Provider Name | Vyacheslav Nisonov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386294577 PECOS PAC ID: 0143551663 Enrollment ID: I20220321000570 |
| Provider Name | Kayla Previti |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811628126 PECOS PAC ID: 3870976624 Enrollment ID: I20220811002812 |
| Provider Name | Katarzyna J Zazel-wolska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124741681 PECOS PAC ID: 0840660478 Enrollment ID: I20221222002725 |
| Provider Name | Kimberly A Salinas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215387790 PECOS PAC ID: 5698146942 Enrollment ID: I20230124001200 |
| Provider Name | Dennis Roth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699888354 PECOS PAC ID: 2860551785 Enrollment ID: I20230206002971 |
| Mailing Address | Practice Location Address |
|---|---|
| Petkov Bodywork Therapy, Llc 5168 W Augusta Ave, Glendale, AZ 85301-1469 Ph: (480) 269-5029 | Petkov Bodywork Therapy, Llc 5168 W Augusta Ave, Glendale, AZ 85301-1469 Ph: (480) 269-5029 |
Ms. Veda Marie Collmer, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5146 W Whispering Wind Dr, Glendale, AZ 85310 Phone: 508-951-0264 | |
Grace Federico, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4535 W Cholla St, Glendale, AZ 85304 Phone: 602-896-5100 | |
Fernando Oregel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7991 W Montebello Ave, Glendale, AZ 85303 Phone: 623-349-2060 | |
Mr. Ty J. Pehrson, M.O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5281 N 99th Ave Ste 200, Glendale, AZ 85305 Phone: 623-889-0411 Fax: 623-889-0410 | |
Alexis Wilkie, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4545 W Beardsley Rd, Apt 2004, Glendale, AZ 85308 Phone: 623-815-4156 | |
Mrs. Allison Duckett Miller, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 W Union Hills Dr, Suite 2, Glendale, AZ 85308 Phone: 602-439-7400 | |
Ms. Cynthia L Fleming, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7071 W Hillcrest Blvd, Glendale, AZ 85310 Phone: 623-376-3900 Fax: 623-376-3980 |