Orthopedic & Sport Rehab Specialists At Anthem, Llc | |
41125 N Daisy Mountain Dr, Suite 121, Anthem, AZ 85086-4956 | |
(623) 551-9706 | |
(623) 551-9708 |
Full Name | Orthopedic & Sport Rehab Specialists At Anthem, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 41125 N Daisy Mountain Dr, Anthem, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821109356 | NPI | - | NPPES |
G5841 | Other | AZ | MERCY HEALTHCARE GROUP# |
111737 | Other | AZ | HEALTH PARTNERS GROUP# |
AZ0460610 | Other | AZ | BCBS AZ GROUP# |
Z13579 | Other | AZ | HEALTHNET GROUP# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Shane Carr |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124499280 PECOS PAC ID: 3476523457 Enrollment ID: I20040728000112 |
Provider Name | Aaron H Williams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972508208 PECOS PAC ID: 0143123596 Enrollment ID: I20040728000142 |
Provider Name | Matthew J Shuey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861445660 PECOS PAC ID: 5496725293 Enrollment ID: I20040729000079 |
Provider Name | Michael Beebe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891790119 PECOS PAC ID: 2062307952 Enrollment ID: I20050721000425 |
Provider Name | Sarah N Harwell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376537274 PECOS PAC ID: 6103857040 Enrollment ID: I20050830000706 |
Provider Name | Christine M Watson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962484089 PECOS PAC ID: 3375565435 Enrollment ID: I20060103000797 |
Provider Name | Shaun A Koth |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912952219 PECOS PAC ID: 9830112010 Enrollment ID: I20060113000535 |
Provider Name | David J Elsasser |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689628414 PECOS PAC ID: 5890701288 Enrollment ID: I20060222000273 |
Provider Name | Kendra K Williams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497724462 PECOS PAC ID: 3476569815 Enrollment ID: I20060222000727 |
Provider Name | Nicole S Besana |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871639476 PECOS PAC ID: 5799853321 Enrollment ID: I20081008000683 |
Provider Name | Sharon L Vosekalns |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669482519 PECOS PAC ID: 9931128014 Enrollment ID: I20090428000163 |
Provider Name | Kyle S Bergeson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619284577 PECOS PAC ID: 3678753613 Enrollment ID: I20110209000305 |
Provider Name | Troy Matthew Merckle |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316140916 PECOS PAC ID: 8224123583 Enrollment ID: I20110302000872 |
Provider Name | Lana L Duncan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255617049 PECOS PAC ID: 2062688492 Enrollment ID: I20120105000612 |
Provider Name | Erin Marie Miller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053743914 PECOS PAC ID: 8426292533 Enrollment ID: I20130911000355 |
Provider Name | Jason Q Avakian |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003868688 PECOS PAC ID: 8123035698 Enrollment ID: I20140227001736 |
Provider Name | Sean M Faby |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336456003 PECOS PAC ID: 9234356742 Enrollment ID: I20140806002666 |
Provider Name | Bernadette Connor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760574503 PECOS PAC ID: 2961412069 Enrollment ID: I20150910001781 |
Provider Name | Kelcey Zayas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235505934 PECOS PAC ID: 6507174406 Enrollment ID: I20150925001500 |
Provider Name | Kenneth David Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851767495 PECOS PAC ID: 6002124930 Enrollment ID: I20150925002672 |
Provider Name | Michael Peronace |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992815583 PECOS PAC ID: 6002869716 Enrollment ID: I20151214000293 |
Provider Name | Ryan C Donaldson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134593882 PECOS PAC ID: 0446551584 Enrollment ID: I20151215002407 |
Provider Name | Nicolette A Owens |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679932891 PECOS PAC ID: 1052618212 Enrollment ID: I20160404000017 |
Provider Name | Emmylou Hetland |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962853085 PECOS PAC ID: 1658667852 Enrollment ID: I20160915000120 |
Provider Name | Erin Lee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861841306 PECOS PAC ID: 3274825021 Enrollment ID: I20170228000662 |
Provider Name | Nathan P Reber |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396271326 PECOS PAC ID: 6002185295 Enrollment ID: I20170630002211 |
Provider Name | Thomas Joseph Beguin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861842411 PECOS PAC ID: 6507131398 Enrollment ID: I20171004001631 |
Provider Name | Julia Ostoich |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316465842 PECOS PAC ID: 7214201185 Enrollment ID: I20171025003450 |
Provider Name | Shauna Epperson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861917379 PECOS PAC ID: 3870866973 Enrollment ID: I20171101003433 |
Provider Name | Alison Finan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942718424 PECOS PAC ID: 5294097390 Enrollment ID: I20180402000170 |
Provider Name | Emily Slater |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871083113 PECOS PAC ID: 0840547485 Enrollment ID: I20180727000699 |
Provider Name | Nikole Nelson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316416928 PECOS PAC ID: 2163769498 Enrollment ID: I20190124002867 |
Provider Name | Zachary Hadden |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134691728 PECOS PAC ID: 6709126949 Enrollment ID: I20190325002751 |
Provider Name | Pamela Pino |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609248707 PECOS PAC ID: 7416250055 Enrollment ID: I20190731000755 |
Provider Name | William D Burleson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780230128 PECOS PAC ID: 3971833641 Enrollment ID: I20190923001858 |
Provider Name | Jack Joel Little |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669029609 PECOS PAC ID: 8022348119 Enrollment ID: I20191003000735 |
Provider Name | Jarom Woodbury |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962965137 PECOS PAC ID: 5597191171 Enrollment ID: I20200129002197 |
Provider Name | Kevin Garver |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750909354 PECOS PAC ID: 1759707011 Enrollment ID: I20200817003482 |
Provider Name | Jacob Brauning |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245846690 PECOS PAC ID: 2163841842 Enrollment ID: I20200929003395 |
Provider Name | Justin Douglas Becker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538776489 PECOS PAC ID: 3971922311 Enrollment ID: I20201002002657 |
Provider Name | Mychaela Sears |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033741459 PECOS PAC ID: 4981024668 Enrollment ID: I20201019001889 |
Provider Name | Rebecca Marie Pudvah |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871990051 PECOS PAC ID: 5193124725 Enrollment ID: I20210601002091 |
Provider Name | Kevin Allen Schnitz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063086882 PECOS PAC ID: 2163823618 Enrollment ID: I20210622002516 |
Provider Name | Erick Moon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538632351 PECOS PAC ID: 1557609328 Enrollment ID: I20210825001185 |
Provider Name | Cade Joseph Parker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356017719 PECOS PAC ID: 0840695862 Enrollment ID: I20210828000435 |
Provider Name | Alexander Karol Borys |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174299473 PECOS PAC ID: 7719383355 Enrollment ID: I20210908001514 |
Provider Name | Ashley Rubenstein |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013555168 PECOS PAC ID: 8123419330 Enrollment ID: I20211223000761 |
Provider Name | Matthew S Koster |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801555941 PECOS PAC ID: 8628469731 Enrollment ID: I20211228002370 |
Provider Name | Heather Elois Laskaris |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093475014 PECOS PAC ID: 0244622892 Enrollment ID: I20220112000625 |
Provider Name | Gretchen Griffee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942969985 PECOS PAC ID: 8820481666 Enrollment ID: I20220131001601 |
Provider Name | Kyle Kornowski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558091546 PECOS PAC ID: 8022498146 Enrollment ID: I20220707001742 |
Provider Name | Melanie Tuell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710618517 PECOS PAC ID: 2567843618 Enrollment ID: I20220720002157 |
Provider Name | James J Grodzielanek |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992431506 PECOS PAC ID: 3870978463 Enrollment ID: I20220919000647 |
Provider Name | Dylan Castro |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952049033 PECOS PAC ID: 0446630404 Enrollment ID: I20221006001943 |
Provider Name | Amira Ebong |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194463265 PECOS PAC ID: 7012397979 Enrollment ID: I20221006002208 |
Provider Name | Sean Scully |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679056444 PECOS PAC ID: 5991173973 Enrollment ID: I20221122003371 |
Provider Name | Trevor William Fleischer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881325991 PECOS PAC ID: 6800264755 Enrollment ID: I20221125000067 |
Provider Name | Liat Avital |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063873289 PECOS PAC ID: 1759662992 Enrollment ID: I20230210000352 |
Provider Name | Daniel Gilstrap |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295188217 PECOS PAC ID: 1557790987 Enrollment ID: I20230310001697 |
Provider Name | Alexis Kay Anderson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184314049 PECOS PAC ID: 1254799265 Enrollment ID: I20230623001854 |
Provider Name | Allison Mccabe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790561629 PECOS PAC ID: 5890149322 Enrollment ID: I20231002002116 |
Provider Name | Jennifer Bruckner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427779172 PECOS PAC ID: 4183092588 Enrollment ID: I20231025003196 |
Provider Name | Cole William Smith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003681065 PECOS PAC ID: 7719336726 Enrollment ID: I20231214003479 |
Mailing Address | Practice Location Address |
---|---|
Orthopedic & Sport Rehab Specialists At Anthem, Llc 41125 N Daisy Mountain Dr, Suite 125, Anthem, AZ 85086-4956 Ph: (623) 551-9706 | Orthopedic & Sport Rehab Specialists At Anthem, Llc 41125 N Daisy Mountain Dr, Suite 121, Anthem, AZ 85086-4956 Ph: (623) 551-9706 |
Harper Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 41818 N Venture Dr, Suite 120, Anthem, AZ 85086 Phone: 623-742-7338 Fax: 623-742-7339 | |
Brittany Peters, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41125 N Daisy Mountain Dr, Suite 121, Anthem, AZ 85086 Phone: 623-551-9706 Fax: 623-551-9708 | |
Alecia Ann Hicks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42211 N 41st Dr Ste 145, Anthem, AZ 85086 Phone: 602-808-9912 | |
Anthem Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42201 N 41st Dr Ste 168, Anthem, AZ 85086 Phone: 480-744-4272 Fax: 623-748-3778 | |
Ms. Katherine Elizabeth Furnish, P.T., M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 43136 N National Trl, Anthem, AZ 85086 Phone: 623-551-3644 Fax: 623-551-3644 | |
Stacy Ann Bowers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41818 N Venture Dr, Suite 120, Anthem, AZ 85086 Phone: 623-742-7338 Fax: 623-742-7339 | |
Charlynn Darrah, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3654 W Anthem Way, Suite B102, Anthem, AZ 85086 Phone: 623-551-9706 Fax: 623-551-9708 |