| Foothills Sports Medicine & Rehabilitation Litchfield Park, Llc | |
|
5110 N Dysart Rd, Suite 148, Litchfield Park, AZ 85340-3058 | |
| (623) 547-4739 | |
| (623) 536-2154 |
| Full Name | Foothills Sports Medicine & Rehabilitation Litchfield Park, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5110 N Dysart Rd, Litchfield Park, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134317779 | NPI | - | NPPES |
| Provider Name | Stacie R Segebart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104809870 PECOS PAC ID: 2062405822 Enrollment ID: I20040407000014 |
| Provider Name | Michael L Basten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184616518 PECOS PAC ID: 2062403744 Enrollment ID: I20051108000013 |
| Provider Name | Jamie R Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669527024 PECOS PAC ID: 8022100965 Enrollment ID: I20070822001455 |
| Provider Name | Jennifer L Schreiber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275784308 PECOS PAC ID: 3274695887 Enrollment ID: I20081216000291 |
| Provider Name | Amanda M Amato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649555798 PECOS PAC ID: 7416124441 Enrollment ID: I20120116000158 |
| Provider Name | Susan E Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568862696 PECOS PAC ID: 8325269582 Enrollment ID: I20141031002239 |
| Provider Name | Andrew M Songer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073914271 PECOS PAC ID: 6507088416 Enrollment ID: I20141110000857 |
| Provider Name | Kevin J Girard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669720363 PECOS PAC ID: 8224356522 Enrollment ID: I20150417000019 |
| Provider Name | Jonathan R Yaden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689068868 PECOS PAC ID: 1456671684 Enrollment ID: I20150528002774 |
| Provider Name | Russell C Semmler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578015780 PECOS PAC ID: 5698055754 Enrollment ID: I20161206002305 |
| Provider Name | Katharine M Mcwilliams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457744039 PECOS PAC ID: 4981979184 Enrollment ID: I20171012003465 |
| Provider Name | Scott T Manecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427614106 PECOS PAC ID: 1951635879 Enrollment ID: I20190626004119 |
| Provider Name | Clarke B Antonio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255943874 PECOS PAC ID: 4183043433 Enrollment ID: I20201006001317 |
| Provider Name | Michael Scotto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609441682 PECOS PAC ID: 0446642441 Enrollment ID: I20220125002872 |
| Provider Name | Lauren Cairo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003456450 PECOS PAC ID: 0042632176 Enrollment ID: I20220509001507 |
| Provider Name | Jeremy Wolters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720711971 PECOS PAC ID: 0345622676 Enrollment ID: I20220803002843 |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Sports Medicine & Rehabilitation Litchfield Park, Llc 5110 N Dysart Rd, Suite 148, Litchfield Park, AZ 85340-3058 Ph: (623) 547-4739 | Foothills Sports Medicine & Rehabilitation Litchfield Park, Llc 5110 N Dysart Rd, Suite 148, Litchfield Park, AZ 85340-3058 Ph: (623) 547-4739 |
Alison Sanfilippo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14044 W Camelback Rd Ste 126, Litchfield Park, AZ 85340 Phone: 602-648-5444 Fax: 602-772-3801 | |
Heather Chowaniec Brummett, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12940 W Campbell Ave, Litchfield Park, AZ 85340 Phone: 623-536-5743 | |
Andrew M Songer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5110 N Dysart Rd, Suite 148, Litchfield Park, AZ 85340 Phone: 623-547-4739 Fax: 623-536-2154 | |
Chandler Christy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 511 N Dysart Rd, Litchfield Park, AZ 85340 Phone: 623-547-4739 | |
Julie Vogt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14260 S Denny Blvd, Litchfield Park, AZ 85340 Phone: 623-537-7400 | |
Erica Drunasky, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14260 S Denny Blvd, Litchfield Park, AZ 85340 Phone: 623-537-7400 |