| Tipton Physical Therapy And Aquatic Center | |
|
8400 E Florentine Rd, Prescott Valley, AZ 86314-8653 | |
| (928) 775-9999 | |
| (928) 775-9998 |
| Full Name | Tipton Physical Therapy And Aquatic Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8400 E Florentine Rd, Prescott Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811954803 | NPI | - | NPPES |
| 115AZ60188 | Other | AZ | TRIWEST DCN |
| 3Z2680 | Other | AZ | HEALTHNET |
| 670847 | Other | AZ | UNITED HEALTHCARE |
| 707440 | Other | AZ | WELLCARE |
| 191587 | Medicaid | AZ | |
| 106263700 | Other | AZ | DEPT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5049 (Arizona) | Primary |
| Provider Name | Johnathan J Tipton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104848225 PECOS PAC ID: 7911991997 Enrollment ID: I20040618001122 |
| Provider Name | Andrea M Liermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598098709 PECOS PAC ID: 3072658681 Enrollment ID: I20100308000462 |
| Provider Name | Robert C Reynoldson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497160253 PECOS PAC ID: 5890915771 Enrollment ID: I20140926000867 |
| Provider Name | Olivia C Harms |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831699909 PECOS PAC ID: 6103188156 Enrollment ID: I20190703001351 |
| Provider Name | Nina Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932673555 PECOS PAC ID: 8921338286 Enrollment ID: I20201229001115 |
| Provider Name | Jericho Barela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144881376 PECOS PAC ID: 9436487832 Enrollment ID: I20210122000852 |
| Mailing Address | Practice Location Address |
|---|---|
| Tipton Physical Therapy And Aquatic Center 8400 E Florentine Rd, Prescott Valley, AZ 86314-8653 Ph: (928) 775-9999 | Tipton Physical Therapy And Aquatic Center 8400 E Florentine Rd, Prescott Valley, AZ 86314-8653 Ph: (928) 775-9999 |
Scott Madsen, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3075 N Windsong Dr, Suite C, Prescott Valley, AZ 86314 Phone: 928-775-9500 | |
Jonathan Jay Tipton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8400 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 928-775-9999 Fax: 928-775-9998 | |
Mr. Israel Albarran, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2852 N Navajo Dr Ste A, Prescott Valley, AZ 86314 Phone: 928-772-9797 Fax: 928-772-9340 | |
Jericho Barela, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8400 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 928-775-9999 Fax: 928-775-9998 | |
Dr. Jodi R Gilray, PT, DPT, C/NDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6550 E 2nd St Ste B, Prescott Valley, AZ 86314 Phone: 928-771-9327 Fax: 928-771-9519 | |
Jesus Gaquing Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3380 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-759-6545 | |
Emma Catherine Barnes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6550 E 2nd St Ste B, Prescott Valley, AZ 86314 Phone: 928-771-9327 |