| Spooner South Mountain | |
|
3540 E Baseline Rd Ste 103, Phoenix, AZ 85042-9628 | |
| (602) 243-1476 | |
| (602) 243-1010 |
| Full Name | Spooner South Mountain |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3540 E Baseline Rd Ste 103, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124441944 | NPI | - | NPPES |
| 324787 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ty J Pehrson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043265929 PECOS PAC ID: 0446262778 Enrollment ID: I20060630000323 |
| Provider Name | Laurie L Shepard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033116397 PECOS PAC ID: 7517946148 Enrollment ID: I20100924000589 |
| Provider Name | Christine N Altamirano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023312402 PECOS PAC ID: 7012196603 Enrollment ID: I20110128000242 |
| Provider Name | Charu Fnu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609109990 PECOS PAC ID: 6002070612 Enrollment ID: I20120612000192 |
| Provider Name | Sarah E Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861740326 PECOS PAC ID: 2668625500 Enrollment ID: I20121231000198 |
| Provider Name | Scott Moynahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437182045 PECOS PAC ID: 8820238082 Enrollment ID: I20130711000235 |
| Provider Name | Nicole J Ron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184052862 PECOS PAC ID: 4486884095 Enrollment ID: I20140227000609 |
| Provider Name | Matthew J Getz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144658154 PECOS PAC ID: 2365672649 Enrollment ID: I20140306000952 |
| Provider Name | Steve S Sargol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275880825 PECOS PAC ID: 7517102486 Enrollment ID: I20141008002114 |
| Provider Name | Charles Deneen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801330469 PECOS PAC ID: 8426331281 Enrollment ID: I20170202000643 |
| Provider Name | Joe Escobedo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639662604 PECOS PAC ID: 9436405461 Enrollment ID: I20180705003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Spooner South Mountain 9097 E Desert Cove Ave Ste 101, Scottsdale, AZ 85260-6279 Ph: (602) 329-8250 | Spooner South Mountain 3540 E Baseline Rd Ste 103, Phoenix, AZ 85042-9628 Ph: (602) 243-1476 |
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 |