| Brandon Darrell Penas, | |
|
9376 E Bahia Dr, Suite 103, Scottsdale, AZ 85260-1532 | |
| (480) 556-8406 | |
| (480) 607-5840 |
| Full Name | Brandon Darrell Penas |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 9376 E Bahia Dr, Scottsdale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194910984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7735 (Arizona) | Primary |
| Provider Name | Ignite Physical Therapy Plc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861820508 PECOS PAC ID: 9931339041 Enrollment ID: O20140310002113 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Darrell Penas, 9376 E Bahia Dr, Suite 103, Scottsdale, AZ 85260-1532 Ph: (480) 556-8406 | Brandon Darrell Penas, 9376 E Bahia Dr, Suite 103, Scottsdale, AZ 85260-1532 Ph: (480) 556-8406 |
Candice Anne Hill, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1475 N Granite Reef Rd, Scottsdale, AZ 85257 Phone: 480-990-1904 | |
Dr. Jeffrey Scott Abernethy, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7301 E 2nd St Ste 90, Scottsdale, AZ 85251 Phone: 480-882-6829 | |
Lifesource Therapeutics Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7679 E Pinnacle Peak Rd, Suite100, Scottsdale, AZ 85255 Phone: 480-264-4599 Fax: 480-269-9201 | |
Jarad Coleman Brisbin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9219 E Hidden Spur Trl Ste 100, Scottsdale, AZ 85255 Phone: 602-648-5444 Fax: 602-772-3801 | |
Alexandria Cording, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3337 N Miller Rd Ste 103, Scottsdale, AZ 85251 Phone: 480-687-2438 | |
Margy Kathleen Owen, PT, MS Physical Therapist Medicare: Medicare Enrolled Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Bonnie Kurth, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15953 N Greenway Hayden Loop, Scottsdale, AZ 85260 Phone: 480-998-4848 Fax: 480-222-0268 |