Madison Nichole Aguon Taitano, PT, DPT | |
7727 W Deer Valley Rd Ste 210, Peoria, AZ 85382-2120 | |
(623) 208-7575 | |
Not Available |
Full Name | Madison Nichole Aguon Taitano |
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Gender | Female |
Speciality | Physical Therapist |
Location | 7727 W Deer Valley Rd Ste 210, Peoria, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538876610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | LPT-32644 (Arizona) | Primary |
Provider Name | Impact Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215319413 PECOS PAC ID: 4789978735 Enrollment ID: O20161014000019 |
Mailing Address | Practice Location Address |
---|---|
Madison Nichole Aguon Taitano, PT, DPT 16649 W Jenan Dr, Surprise, AZ 85388-6070 Ph: (443) 676-7900 | Madison Nichole Aguon Taitano, PT, DPT 7727 W Deer Valley Rd Ste 210, Peoria, AZ 85382-2120 Ph: (623) 208-7575 |
Michelle Renae Wagoner, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9713 W Tonopah Dr, Peoria, AZ 85382 Phone: 480-381-0220 Fax: 623-594-9094 | |
Bradley Day, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8643 W Kelton Ln Ste 106, Peoria, AZ 85382 Phone: 623-979-8900 Fax: 480-860-0356 | |
Andrew Yanes, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7707 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 480-706-1161 | |
Total Body Zone Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8440 W Thunderbird Rd, Peoria, AZ 85381 Phone: 623-776-9662 Fax: 623-776-2813 | |
Dr. Lindsey K Tellez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9401 W Thunderbird Rd Ste 190, Peoria, AZ 85381 Phone: 623-977-5451 | |
Lanora Riley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6760 W Thunderbird Rd Ste E110, Peoria, AZ 85381 Phone: 623-846-7614 Fax: 623-846-0993 | |
Alexander Rodriguez Del Villar, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7707 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 623-376-9100 |