| Experience Physical Therapy Llc | |
|
2510 E Hunt Hwy Ste 26-27, San Tan Valley, AZ 85143-5206 | |
| (480) 234-4464 | |
| Not Available |
| Full Name | Experience Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2510 E Hunt Hwy Ste 26-27, San Tan Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447877105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Dustin S Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669585733 PECOS PAC ID: 5597765917 Enrollment ID: I20070109000602 |
| Provider Name | Blaine R Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366750101 PECOS PAC ID: 3678769833 Enrollment ID: I20101130000711 |
| Provider Name | Bryce W Petersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053885418 PECOS PAC ID: 7719229293 Enrollment ID: I20190502001693 |
| Provider Name | Jordan Powell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992367163 PECOS PAC ID: 8527395219 Enrollment ID: I20190802001045 |
| Mailing Address | Practice Location Address |
|---|---|
| Experience Physical Therapy Llc 2510 E Hunt Hwy Ste 26-27, San Tan Valley, AZ 85143-5206 Ph: (480) 234-4664 | Experience Physical Therapy Llc 2510 E Hunt Hwy Ste 26-27, San Tan Valley, AZ 85143-5206 Ph: (480) 234-4464 |
Andrea Ruth Jennings, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 | |
Bryce Petersen, PT, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2510 E Hunt Hwy Ste 27, San Tan Valley, AZ 85143 Phone: 480-618-0480 Fax: 480-618-0481 | |
Eric L Shifley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 37591 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 Phone: 480-590-8504 | |
Jonathan Randall, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36397 N Gantzel Rd, #102, San Tan Valley, AZ 85140 Phone: 480-567-2987 Fax: 480-347-0240 | |
Elaina Nicole Quinn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 | |
Samantha Kilbourne, Physical Therapist Medicare: Medicare Enrolled Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 | |
Jim W Roarty, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 40601 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140 Phone: 602-648-5444 Fax: 602-772-3801 |