Foothills Sports Medicine & Rehabilitation, Llc - Medicare Physical Therapist in Phoenix, AZ

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Foothills Sports Medicine & Rehabilitation, Llc is a medicare enrolled "Physical Therapist" provider in Phoenix, Arizona. Their current practice location is 15410 S Mountain Pkwy, Suite 112, Phoenix, Arizona. You can reach out to their office (for appointments etc.) via phone at (480) 940-8299.

Foothills Sports Medicine & Rehabilitation, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Foothills Sports Medicine & Rehabilitation, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1558318170.

Contact Information

Foothills Sports Medicine & Rehabilitation, Llc
15410 S Mountain Pkwy, Suite 112,
Phoenix, AZ 85044-6691
(480) 940-8299
(480) 704-0888

Map and Direction




Healthcare Provider's Profile

Full NameFoothills Sports Medicine & Rehabilitation, Llc
TypeFacility
SpecialityPhysical Therapist
Location15410 S Mountain Pkwy, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558318170
  • Provider Enumeration Date: 05/28/2006
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668457979
  • Enrollment ID: O20040621001886

Medical Identifiers

Medical identifiers for Foothills Sports Medicine & Rehabilitation, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558318170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
2251S0007XPhysical Therapist - Sports (* (Not Available))Secondary
2251X0800XPhysical Therapist - Orthopedic (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Foothills Sports Medicine & Rehabilitation, Llc acts as a billing entity for following providers:
Provider NameDorothy A Mcguinness
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699769992
PECOS PAC ID: 9032004247
Enrollment ID: I20040217000750
Provider NameMichael J Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164416913
PECOS PAC ID: 4284526013
Enrollment ID: I20040326000864
Provider NameItamar Stern
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992797336
PECOS PAC ID: 4284546664
Enrollment ID: I20040524000013
Provider NameMatthew A Midkiff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194752907
PECOS PAC ID: 1254302235
Enrollment ID: I20040803001450
Provider NameWarwick B Laing
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447738695
PECOS PAC ID: 7113996570
Enrollment ID: I20041001000332
Provider NameRobert J Henert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013094473
PECOS PAC ID: 1850349630
Enrollment ID: I20050107000853
Provider NameLynsey N Schmidt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679570931
PECOS PAC ID: 5496706301
Enrollment ID: I20050208001070
Provider NameAndrew M Moriarty
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215929633
PECOS PAC ID: 7719920214
Enrollment ID: I20050606000946
Provider NameWayne R Foley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881648673
PECOS PAC ID: 3274576285
Enrollment ID: I20050609000668
Provider NameMichael T Branson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205967221
PECOS PAC ID: 3375573652
Enrollment ID: I20050818000487
Provider NameDouglas G Howard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407956352
PECOS PAC ID: 1557395712
Enrollment ID: I20050927000244
Provider NameMichael L Basten
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184616518
PECOS PAC ID: 2062403744
Enrollment ID: I20051108000013
Provider NameJason T Sweet
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083645840
PECOS PAC ID: 8123040482
Enrollment ID: I20051229000752
Provider NameKaren S Stewart
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437162021
PECOS PAC ID: 8123036860
Enrollment ID: I20060322000536
Provider NameVincent D Kame
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114920642
PECOS PAC ID: 7416960471
Enrollment ID: I20060718000028
Provider NameJeffrey D Moyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104879345
PECOS PAC ID: 9335142009
Enrollment ID: I20060818000161
Provider NameBenjamin H Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689750143
PECOS PAC ID: 6901806173
Enrollment ID: I20070111000559
Provider NameAnthony Heywood
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063404473
PECOS PAC ID: 9537263983
Enrollment ID: I20070326000097
Provider NameAndrea K Ciochetti
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851398051
PECOS PAC ID: 1456455617
Enrollment ID: I20070412000563
Provider NameClinton C Borman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851398119
PECOS PAC ID: 7012014962
Enrollment ID: I20070529000584
Provider NameJames W Kester
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801863238
PECOS PAC ID: 6305945510
Enrollment ID: I20070628000068
Provider NameJamie R Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669527024
PECOS PAC ID: 8022100965
Enrollment ID: I20070822001455
Provider NameJennifer L Wright
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831278316
PECOS PAC ID: 4688767890
Enrollment ID: I20070904000735
Provider NameDouglas J Rich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598844698
PECOS PAC ID: 0648356717
Enrollment ID: I20080329000066
Provider NameJennifer L Schreiber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275784308
PECOS PAC ID: 3274695887
Enrollment ID: I20081216000291
Provider NameStacey E Scherzer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346422375
PECOS PAC ID: 5890848717
Enrollment ID: I20090724000423
Provider NameJanene K Alcantar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841362308
PECOS PAC ID: 0446306948
Enrollment ID: I20090925000040
Provider NameErica F Reali
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417038696
PECOS PAC ID: 4789726530
Enrollment ID: I20100118000004
Provider NameDouglas J Meyrose
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982613519
PECOS PAC ID: 3577543065
Enrollment ID: I20100219000219
Provider NameCarlos M Rivas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023323268
PECOS PAC ID: 0749474286
Enrollment ID: I20101028001470
Provider NameNikkol Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497752042
PECOS PAC ID: 1850585316
Enrollment ID: I20101029000146
Provider NameKatherine Mcclain
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588661128
PECOS PAC ID: 3870782261
Enrollment ID: I20110118000105
Provider NameJerry J Mccollow
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407833684
PECOS PAC ID: 2365340940
Enrollment ID: I20110121000137
Provider NameKevin J Truitt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508175019
PECOS PAC ID: 6406038371
Enrollment ID: I20110314000879
Provider NameLori A Francoeur
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346232758
PECOS PAC ID: 7719169457
Enrollment ID: I20110316000787
Provider NameMatthew F Schultz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619264173
PECOS PAC ID: 5496925489
Enrollment ID: I20110830000720
Provider NameLeslie P Drawdy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043519044
PECOS PAC ID: 0042483307
Enrollment ID: I20111101000665
Provider NameLana L Duncan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255617049
PECOS PAC ID: 2062688492
Enrollment ID: I20120105000612
Provider NameBrandi N Bernard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205050440
PECOS PAC ID: 5193806628
Enrollment ID: I20120214000697
Provider NameKaitlin Zimmerman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982974598
PECOS PAC ID: 8820258684
Enrollment ID: I20120402000351
Provider NameMichelle A Bogert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700166618
PECOS PAC ID: 0143491977
Enrollment ID: I20120410000723
Provider NameRichard R Boeckmann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659478618
PECOS PAC ID: 9335124577
Enrollment ID: I20120412000157
Provider NameJessica M Ryder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649317470
PECOS PAC ID: 9830352012
Enrollment ID: I20120525000497
Provider NameNickolas B Griffith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194081034
PECOS PAC ID: 3375707078
Enrollment ID: I20120608000341
Provider NameBenjamin M Harrison
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871851931
PECOS PAC ID: 1456515741
Enrollment ID: I20120618000609
Provider NameScott D Jackson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205174034
PECOS PAC ID: 2264686567
Enrollment ID: I20130215000067
Provider NameDavid B Borboa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922039122
PECOS PAC ID: 1658510003
Enrollment ID: I20130617000316
Provider NameKacie C Lyding
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871831313
PECOS PAC ID: 8628218203
Enrollment ID: I20130702000185
Provider NameLogan M Moore
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477999449
PECOS PAC ID: 3476793738
Enrollment ID: I20130709000840
Provider NameJordan R Brocker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538508171
PECOS PAC ID: 8921249582
Enrollment ID: I20130724000111
Provider NameEdward A Carter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336462225
PECOS PAC ID: 9638356215
Enrollment ID: I20140528000234
Provider NameScott C Sassaman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184041956
PECOS PAC ID: 9234355488
Enrollment ID: I20140723001778
Provider NameMichael T Heidt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225453194
PECOS PAC ID: 1153549928
Enrollment ID: I20140820002300
Provider NameSusan E Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568862696
PECOS PAC ID: 8325269582
Enrollment ID: I20141031002239
Provider NameAndrew M Songer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073914271
PECOS PAC ID: 6507088416
Enrollment ID: I20141110000857
Provider NameBrent A Marr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841690203
PECOS PAC ID: 5991023343
Enrollment ID: I20150414002178
Provider NameKevin J Girard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669720363
PECOS PAC ID: 8224356522
Enrollment ID: I20150417000019
Provider NameJeffrey Lace
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174503932
PECOS PAC ID: 8325367188
Enrollment ID: I20150430000006
Provider NameJonathan M Seidberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043602931
PECOS PAC ID: 3678892999
Enrollment ID: I20150507000815
Provider NameLayne Cooper
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598145609
PECOS PAC ID: 7618282484
Enrollment ID: I20150824000835
Provider NameRobert Lesueur
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659757508
PECOS PAC ID: 6103135223
Enrollment ID: I20151012001080
Provider NameLindsey N Fonacier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588037683
PECOS PAC ID: 5496055956
Enrollment ID: I20151204002397
Provider NameStephanie D Pantaleo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275932675
PECOS PAC ID: 3173743788
Enrollment ID: I20151214000457
Provider NameEthan C Anderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063966554
PECOS PAC ID: 3476849662
Enrollment ID: I20160914002839
Provider NameJoel A Kramer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518412584
PECOS PAC ID: 0648558353
Enrollment ID: I20161101001341
Provider NameSean P Fahlgren
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962959627
PECOS PAC ID: 5597044784
Enrollment ID: I20161110001376
Provider NameAmanda G Hodge
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609185727
PECOS PAC ID: 5193992253
Enrollment ID: I20161129001447
Provider NameRussell C Semmler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578015780
PECOS PAC ID: 5698055754
Enrollment ID: I20161206002305
Provider NameJoshua Korson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316497308
PECOS PAC ID: 3971886730
Enrollment ID: I20170202000658
Provider NameJennifer L Teslevich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437687878
PECOS PAC ID: 5294004503
Enrollment ID: I20170629002121
Provider NameAndre M Colbert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730601923
PECOS PAC ID: 5294007217
Enrollment ID: I20170824003467
Provider NameDominique Renee Bagby
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568987832
PECOS PAC ID: 1951674225
Enrollment ID: I20170907003513
Provider NameGianara Campasano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902244080
PECOS PAC ID: 9234404633
Enrollment ID: I20171011002187
Provider NameMichael A Stohr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659899839
PECOS PAC ID: 9931465994
Enrollment ID: I20171107001753
Provider NameRebecca M Wong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861634511
PECOS PAC ID: 7012274723
Enrollment ID: I20171206000423
Provider NameJanelle K Borg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215448790
PECOS PAC ID: 3870850308
Enrollment ID: I20171207003129
Provider NameJacob Kelso
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518472059
PECOS PAC ID: 9638437346
Enrollment ID: I20171228002580
Provider NameJordon L Rivera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184132029
PECOS PAC ID: 0547520587
Enrollment ID: I20180212001755
Provider NameJoseph A King
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992212419
PECOS PAC ID: 7517227358
Enrollment ID: I20180215002922
Provider NameAlexander Robert Rodriguez Del Villar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033626569
PECOS PAC ID: 9133489925
Enrollment ID: I20180216001840
Provider NameDaniel Carter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003323890
PECOS PAC ID: 2264793835
Enrollment ID: I20180221002447
Provider NameDanielle E Goettl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518468081
PECOS PAC ID: 4284995119
Enrollment ID: I20180309000911
Provider NameDaniel J Maggio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487150611
PECOS PAC ID: 8628331873
Enrollment ID: I20180420002270
Provider NameNadia E Dyakiv
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457856197
PECOS PAC ID: 0446506182
Enrollment ID: I20180710003159
Provider NameMelanie Topete
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053806729
PECOS PAC ID: 6204183379
Enrollment ID: I20180719003618
Provider NamePaige A Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457823478
PECOS PAC ID: 9739427139
Enrollment ID: I20190211000466
Provider NameSarah C Wannlund
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427573914
PECOS PAC ID: 3173897717
Enrollment ID: I20190405000637
Provider NameJeffrey R Sedler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598278145
PECOS PAC ID: 2860735032
Enrollment ID: I20190510001631
Provider NameScott T Manecke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427614106
PECOS PAC ID: 1951635879
Enrollment ID: I20190626004119
Provider NameDavid A Johnston
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821659970
PECOS PAC ID: 4981932142
Enrollment ID: I20190826002600
Provider NameWilliam D Burleson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780230128
PECOS PAC ID: 3971833641
Enrollment ID: I20190923001858
Provider NameFranklyn R Pfeil
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346800786
PECOS PAC ID: 6800126582
Enrollment ID: I20190923002275
Provider NameAlyssa Taryn Taylor Hixon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588193569
PECOS PAC ID: 8022380153
Enrollment ID: I20191015000987
Provider NameAdam S Halseth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134528409
PECOS PAC ID: 8921329996
Enrollment ID: I20200109000427
Provider NameMikael A Gibbens
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831738756
PECOS PAC ID: 2466888185
Enrollment ID: I20200128002450
Provider NameJennifer L Myerthall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265072540
PECOS PAC ID: 9830525641
Enrollment ID: I20200213002369
Provider NamePeyton M Lane
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578102620
PECOS PAC ID: 6103252960
Enrollment ID: I20200214001276
Provider NameTravis J Mason
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831722735
PECOS PAC ID: 4587091624
Enrollment ID: I20200302000497
Provider NameStacey A Trapp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831721836
PECOS PAC ID: 0840628228
Enrollment ID: I20200318000619
Provider NameDeanna Marie Perchiano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992227771
PECOS PAC ID: 1658644034
Enrollment ID: I20200702000705
Provider NameAlexandra Ashby
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568088979
PECOS PAC ID: 7113346859
Enrollment ID: I20200930001783
Provider NameTaylor Phillip Bohne
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598371205
PECOS PAC ID: 2264852722
Enrollment ID: I20201021003436
Provider NameAndrew Herstam
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639776206
PECOS PAC ID: 2961822358
Enrollment ID: I20201023002708
Provider NameAndre Porterfield
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801407432
PECOS PAC ID: 7810307311
Enrollment ID: I20201112002160
Provider NameJack Dylan N Webster
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932713286
PECOS PAC ID: 0941611800
Enrollment ID: I20201124003361
Provider NameAndrew Yanes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003416595
PECOS PAC ID: 6901218387
Enrollment ID: I20201208002333
Provider NameAnisa Nandy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386248136
PECOS PAC ID: 1951714401
Enrollment ID: I20201230002282
Provider NameStephen Thomas Erlandson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083211007
PECOS PAC ID: 4385056936
Enrollment ID: I20210324001651
Provider NameGil Uy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518082429
PECOS PAC ID: 2567367998
Enrollment ID: I20210330002229
Provider NameMatthew Fugate
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396320669
PECOS PAC ID: 6103233226
Enrollment ID: I20210407001674
Provider NameMeryl Cripe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174114623
PECOS PAC ID: 3870902190
Enrollment ID: I20210517001469
Provider NameLucy Simone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427539428
PECOS PAC ID: 7618228560
Enrollment ID: I20210616002068
Provider NameMichele Renae Russell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699343558
PECOS PAC ID: 0042613259
Enrollment ID: I20210726003037
Provider NameOmar Durrani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457020927
PECOS PAC ID: 3779973482
Enrollment ID: I20211210001323
Provider NameSean M Bondy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225705049
PECOS PAC ID: 7214327857
Enrollment ID: I20211214001227
Provider NameSamantha D Jones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396403895
PECOS PAC ID: 7012308505
Enrollment ID: I20211216001499
Provider NameCody M Davis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104495746
PECOS PAC ID: 3870984388
Enrollment ID: I20211216002383
Provider NameAustin R Widick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609534205
PECOS PAC ID: 4981095445
Enrollment ID: I20211217001157
Provider NameBrooke Rehm
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841868445
PECOS PAC ID: 9638570500
Enrollment ID: I20211220001896
Provider NameMadison Fuller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396318754
PECOS PAC ID: 5698166874
Enrollment ID: I20211222002513
Provider NameMorgan L Huppenthal
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164198958
PECOS PAC ID: 0244621472
Enrollment ID: I20211226000004
Provider NameMatthew S Koster
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801555941
PECOS PAC ID: 8628469731
Enrollment ID: I20211228002370
Provider NameMarco A Machado
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396404042
PECOS PAC ID: 9537550264
Enrollment ID: I20220106001459
Provider NameAshley Staehling
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144987769
PECOS PAC ID: 4284026956
Enrollment ID: I20220110002425
Provider NameChelsea Layne Teel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558022582
PECOS PAC ID: 8022400472
Enrollment ID: I20220118000410
Provider NameDanielle Dupont
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740825355
PECOS PAC ID: 3870928328
Enrollment ID: I20220118001481
Provider NameChyann Croley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982364055
PECOS PAC ID: 4385036672
Enrollment ID: I20220118002354
Provider NameHaley Bawek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497161913
PECOS PAC ID: 2769704832
Enrollment ID: I20220121000100
Provider NameSteven Browning
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043981053
PECOS PAC ID: 3678965712
Enrollment ID: I20220121001022
Provider NameAspen Mitchell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447820873
PECOS PAC ID: 7113319260
Enrollment ID: I20220121001477
Provider NameAshley A Stratton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598249187
PECOS PAC ID: 0840544391
Enrollment ID: I20220207001213
Provider NameAndrea Curry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922769884
PECOS PAC ID: 0143613554
Enrollment ID: I20220208001159
Provider NameAngelique Renee Dorman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972722262
PECOS PAC ID: 5890188965
Enrollment ID: I20220214000847
Provider NameNicholas Jeremy Mason
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750868717
PECOS PAC ID: 2567714231
Enrollment ID: I20220323000430
Provider NameLauren Cairo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003456450
PECOS PAC ID: 0042632176
Enrollment ID: I20220509001507
Provider NameStephen Breckenridge
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871018531
PECOS PAC ID: 9335414796
Enrollment ID: I20220518001423
Provider NameColin Kruse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609312081
PECOS PAC ID: 1254613458
Enrollment ID: I20220518002755
Provider NameDanielle Alicia Green
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326786328
PECOS PAC ID: 0648659896
Enrollment ID: I20220620000843
Provider NameCassandra Lynn Latham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801526868
PECOS PAC ID: 4284013178
Enrollment ID: I20220623001698
Provider NameTrevor Irion
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184361396
PECOS PAC ID: 5890174569
Enrollment ID: I20220627002148
Provider NameJeremy Wolters
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720711971
PECOS PAC ID: 0345622676
Enrollment ID: I20220803002843
Provider NameJoshua D Layton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073243424
PECOS PAC ID: 7911380027
Enrollment ID: I20220822002438
Provider NameKelsey Cring
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881328904
PECOS PAC ID: 4789067786
Enrollment ID: I20220823002863
Provider NameOlivia Rose Demichele
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710614938
PECOS PAC ID: 4688058480
Enrollment ID: I20220829000393
Provider NameElizabeth Marie Ladensack
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124746052
PECOS PAC ID: 6002291085
Enrollment ID: I20220912001177
Provider NameAshlee Galindo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548980717
PECOS PAC ID: 1557746245
Enrollment ID: I20220915003761
Provider NameColby White
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992427223
PECOS PAC ID: 4981080942
Enrollment ID: I20220929000618
Provider NameLindsay Patterson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861114696
PECOS PAC ID: 4385020924
Enrollment ID: I20221005000003
Provider NameKendra Lueders
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376119347
PECOS PAC ID: 9436556321
Enrollment ID: I20221019002863
Provider NameAdrian Grant Goodson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417693904
PECOS PAC ID: 0648659847
Enrollment ID: I20221031002308
Provider NameScott Allen Tate
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538818265
PECOS PAC ID: 2567839749
Enrollment ID: I20221031003052
Provider NameMarc Conrad Ty Tentativa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407488562
PECOS PAC ID: 7113331893
Enrollment ID: I20221103001219
Provider NameKori L Ward
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417679978
PECOS PAC ID: 1052788627
Enrollment ID: I20221110002888
Provider NameChanchai Hongdoxmai
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225538960
PECOS PAC ID: 4981944006
Enrollment ID: I20221115002245
Provider NameKatelyn Gohlke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801543087
PECOS PAC ID: 5294103933
Enrollment ID: I20221130000887
Provider NameKiersten Sabolik
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578285425
PECOS PAC ID: 7911375571
Enrollment ID: I20221201002925
Provider NameDylan Nowling
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225747025
PECOS PAC ID: 0840669255
Enrollment ID: I20221207000400
Provider NameBrooke Ferraro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013582766
PECOS PAC ID: 1153723754
Enrollment ID: I20221207002847
Provider NameElizabeth J Galdi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023352283
PECOS PAC ID: 1850514522
Enrollment ID: I20221209002271
Provider NameCamyla Erlandson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841901428
PECOS PAC ID: 7315316361
Enrollment ID: I20221213002999
Provider NameOvidia Chacon Fierro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417310996
PECOS PAC ID: 1254700024
Enrollment ID: I20221219000231
Provider NameJustin R Geissinger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013278373
PECOS PAC ID: 0840446688
Enrollment ID: I20221219002431
Provider NameRoy Edmond Michael Scavone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700516440
PECOS PAC ID: 1759751464
Enrollment ID: I20221221000793
Provider NameBenjamin Wilson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336872456
PECOS PAC ID: 6709256910
Enrollment ID: I20230105000002
Provider NameSarah Colleen Bowen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366928731
PECOS PAC ID: 7113313396
Enrollment ID: I20230110003022
Provider NameSamantha Weber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619571445
PECOS PAC ID: 4183036742
Enrollment ID: I20230113001501
Provider NameSavannah Hanson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922727957
PECOS PAC ID: 2163893819
Enrollment ID: I20230117002963
Provider NameRiley Irwin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801501226
PECOS PAC ID: 5496126542
Enrollment ID: I20230127000908
Provider NameDamian Phillip Chouteau
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649985565
PECOS PAC ID: 0749651800
Enrollment ID: I20230127001017
Provider NameConnor Chastain
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033784772
PECOS PAC ID: 4789084229
Enrollment ID: I20230201000856
Provider NameSamuel Gabel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558029652
PECOS PAC ID: 7911379342
Enrollment ID: I20230214000746
Provider NameJamie Renae Bollinger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114590767
PECOS PAC ID: 5395117386
Enrollment ID: I20230221003032
Provider NameRyan Daniel Barnes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407552037
PECOS PAC ID: 1850764762
Enrollment ID: I20230223001932
Provider NameMischa Elizabeth Jemionek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528344199
PECOS PAC ID: 2567835333
Enrollment ID: I20230224001905
Provider NameAlexis Patterson-adcock
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356055925
PECOS PAC ID: 2163895269
Enrollment ID: I20230309002097
Provider NameDavid Bowen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386159713
PECOS PAC ID: 9830458934
Enrollment ID: I20230321001731
Provider NameKennedy Thomas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346914108
PECOS PAC ID: 5496123671
Enrollment ID: I20230323000081
Provider NameAshley Schoenhardt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003572231
PECOS PAC ID: 4688063100
Enrollment ID: I20230331001752
Provider NameCailyn Kennedy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548915762
PECOS PAC ID: 6406242197
Enrollment ID: I20230407000100
Provider NameBryan Onuselogu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154842276
PECOS PAC ID: 0547523342
Enrollment ID: I20230411000749
Provider NameDivya Abraham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073182002
PECOS PAC ID: 6800255712
Enrollment ID: I20230710001537
Provider NameElana Trejo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093491508
PECOS PAC ID: 3173983756
Enrollment ID: I20230713003159
Provider NameLevi Schmillen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134807613
PECOS PAC ID: 0840651535
Enrollment ID: I20230727002088
Provider NameCaitlin Daniels
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033895560
PECOS PAC ID: 7113388356
Enrollment ID: I20230803002273
Provider NameNathan Payne
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477264166
PECOS PAC ID: 7416319215
Enrollment ID: I20230810002323
Provider NameAnneke Bender
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326735382
PECOS PAC ID: 8426411794
Enrollment ID: I20230905001092
Provider NameCole Anthony Thiede
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821774936
PECOS PAC ID: 8426412826
Enrollment ID: I20230919001846
Provider NameLily Ngoc Ho
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174243331
PECOS PAC ID: 6800240987
Enrollment ID: I20230922001532
Provider NameDylan Dagenback
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922786714
PECOS PAC ID: 5991159964
Enrollment ID: I20230925001616
Provider NameSandra Elliott
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871721985
PECOS PAC ID: 5395095376
Enrollment ID: I20230928002612
Provider NameNathaniel James Juillerat
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679264147
PECOS PAC ID: 6305291683
Enrollment ID: I20231005002207
Provider NameFrancisco Xavier Vazquez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396529418
PECOS PAC ID: 3173978301
Enrollment ID: I20231009001587
Provider NamePeighton S Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811618432
PECOS PAC ID: 1850776139
Enrollment ID: I20231012002666
Provider NameBrett Douglas Krueger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144940388
PECOS PAC ID: 5991176372
Enrollment ID: I20231013001534
Provider NameAshley Cutler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588352538
PECOS PAC ID: 6608221122
Enrollment ID: I20231018001170
Provider NameMichael King
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598456899
PECOS PAC ID: 4385090620
Enrollment ID: I20231024000441
Provider NameNicole Teribery
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144832650
PECOS PAC ID: 9739506247
Enrollment ID: I20231024001094
Provider NameRichard Michaelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801310149
PECOS PAC ID: 1759653249
Enrollment ID: I20231025001970
Provider NameAndrew Kneussle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427788652
PECOS PAC ID: 1355798216
Enrollment ID: I20231114002997
Provider NameTaylor Lynn Haude
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336879568
PECOS PAC ID: 9032568894
Enrollment ID: I20231206000666
Provider NameTrevor Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316722283
PECOS PAC ID: 8527417492
Enrollment ID: I20231218003010
Provider NameBrenden Meier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003683566
PECOS PAC ID: 5890145734
Enrollment ID: I20231219001583
Provider NamePhillip Merritt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093281115
PECOS PAC ID: 8628402187
Enrollment ID: I20231221003229
Provider NameNeema Fotoohi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740057520
PECOS PAC ID: 6507217106
Enrollment ID: I20240108006066
Provider NameMatthew Drapkin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700653276
PECOS PAC ID: 1153773569
Enrollment ID: I20240122003464
Provider NameNathan J Lessard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700433877
PECOS PAC ID: 7911236724
Enrollment ID: I20240123000147
Provider NameAaron Kelly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265816441
PECOS PAC ID: 4688017130
Enrollment ID: I20240212002741
Provider NameIan Gabriel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154182269
PECOS PAC ID: 4981048907
Enrollment ID: I20240219000896
Provider NameMakali Gomez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265201438
PECOS PAC ID: 3072959550
Enrollment ID: I20240306002932
Provider NameAlexandra Lena Veronda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053886267
PECOS PAC ID: 0446672224
Enrollment ID: I20240306003831
Provider NameChandler Christy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083470090
PECOS PAC ID: 1456797505
Enrollment ID: I20240311003681
Provider NameVictoria Adams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548045123
PECOS PAC ID: 0042657520
Enrollment ID: I20240319003958
Provider NameDamian Loucks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215714407
PECOS PAC ID: 6103272042
Enrollment ID: I20240401001890
Provider NameBrooke Kalea Green
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669157947
PECOS PAC ID: 7012355647
Enrollment ID: I20240402002454
Provider NameAnnie Kim Detweiler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033717525
PECOS PAC ID: 9436543964
Enrollment ID: I20240406000422
Provider NameKytan Josephine Tencleve
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770352445
PECOS PAC ID: 9537500343
Enrollment ID: I20240510001950
Provider NameJudy Spilka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811391618
PECOS PAC ID: 0941522858
Enrollment ID: I20240528000719

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Foothills Sports Medicine & Rehabilitation, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Foothills Sports Medicine & Rehabilitation, Llc
15410 S Mountain Pkwy, Suite 112,
Phoenix, AZ 85044-6691

Ph: (480) 940-8299		Foothills Sports Medicine & Rehabilitation, Llc
15410 S Mountain Pkwy, Suite 112,
Phoenix, AZ 85044-6691

Ph: (480) 940-8299

Reviews and Comments


Physical Therapist in Phoenix, AZ

Mrs. Judith Savage Shoup, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 10251 N 35th Ave, Phoenix, AZ 85051
Phone: 602-995-7366    Fax: 602-995-0867
Ms. Hillary Kristi Vance, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 20045 N 19th Ave, Building 8, Phoenix, AZ 85027
Phone: 623-594-9034    Fax: 623-594-9868
Dr. Sarah Buschmann, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5055 E Washington St, Phoenix, AZ 85034
Phone: 602-277-1073    
Dr. Haley Dudzinski, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2942 N 7th Ave Ste A101, Phoenix, AZ 85013
Phone: 602-277-0084    Fax: 602-277-0885
Kendra Ann Scott, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 202 E Earll Dr Ste 360, Phoenix, AZ 85012
Phone: 480-788-5621    Fax: 480-779-1277
Dr. Taylor Wingstrom, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 41818 N Venture Dr Ste 120, Phoenix, AZ 85086
Phone: 623-742-7338    
Steven Notaro,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2222 E Highland Ave Ste 310, Phoenix, AZ 85016
Phone: 602-512-8550    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.