Douglas Mitchell, DPT | |
25229 S Sun Lakes Blvd, Ste 119, Sun Lakes, AZ 85248-6453 | |
(480) 883-6734 | |
(480) 895-8143 |
Full Name | Douglas Mitchell |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 25229 S Sun Lakes Blvd, Sun Lakes, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922131606 | NPI | - | NPPES |
139649 | Other | OR | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0PT276730 (California) | Secondary |
225100000X | Physical Therapist | 5493 (Oregon) | Secondary |
225100000X | Physical Therapist | 9812 (Arizona) | Primary |
Provider Name | 360 Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932430949 PECOS PAC ID: 1355237645 Enrollment ID: O20040224000822 |
Mailing Address | Practice Location Address |
---|---|
Douglas Mitchell, DPT 25229 S Sun Lakes Blvd, Ste 119, Sun Lakes, AZ 85248-6453 Ph: (480) 883-6734 | Douglas Mitchell, DPT 25229 S Sun Lakes Blvd, Ste 119, Sun Lakes, AZ 85248-6453 Ph: (480) 883-6734 |
Allison Christine Jenkins, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25229 S Sun Lakes Blvd, Sun Lakes, AZ 85248 Phone: 480-883-6737 Fax: 480-895-8143 | |
Jeffrey M Petrik, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25229 S Sun Lakes Blvd, 119, Sun Lakes, AZ 85248 Phone: 480-883-6734 Fax: 480-895-8143 | |
Dr. Jacob Muzzarelli, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25229 S Sun Lakes Blvd, Sun Lakes, AZ 85248 Phone: 480-883-6734 | |
Apeksha Besekar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10325 E Riggs Rd Ste 102, Sun Lakes, AZ 85248 Phone: 480-802-7081 Fax: 480-837-2773 | |
Hilmari Leroux Ray, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10440 E Riggs Rd Ste 215, Sun Lakes, AZ 85248 Phone: 480-304-5510 Fax: 480-664-4223 | |
Brittany Heyer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10325 E Riggs Rd Ste 102, Sun Lakes, AZ 85248 Phone: 480-802-7081 | |
Opt Rehab Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10325 E Riggs Rd, #102, Sun Lakes, AZ 85248 Phone: 480-802-7081 Fax: 480-802-9492 |