Trailhead Physical Therapy & Sports Medicine is a medicare enrolled "Clinic/center - Physical Therapy" provider in Phoenix, Arizona. Their current practice location is
1838 W Parkside Ln Ste 110, Phoenix, Arizona. You can reach out to their office (for appointments etc.) via phone at
(970) 712-2938.
Trailhead Physical Therapy & Sports Medicine is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Trailhead Physical Therapy & Sports Medicine
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1568079523.
Healthcare Provider's Profile
| Full Name | Trailhead Physical Therapy & Sports Medicine |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1838 W Parkside Ln Ste 110, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568079523
- Provider Enumeration Date: 09/24/2020
- Last Update Date: 09/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022420512
- Enrollment ID: O20201207000799
Medical Identifiers
Medical identifiers for Trailhead Physical Therapy & Sports Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568079523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Trailhead Physical Therapy & Sports Medicine acts as a billing entity for following providers:
| Provider Name | Christopher R Ellis |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1497841167
PECOS PAC ID: 0244238830
Enrollment ID: I20061114000495 |
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| Provider Name | Jennifer Mcclendon |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1871087718
PECOS PAC ID: 7911254909
Enrollment ID: I20180723000892 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Trailhead Physical Therapy & Sports Medicine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Trailhead Physical Therapy & Sports Medicine
Po Box 5718,
Kalispell, MT 59903-5718
Ph: (406) 756-0134 | Trailhead Physical Therapy & Sports Medicine
1838 W Parkside Ln Ste 110,
Phoenix, AZ 85027-1370
Ph: (970) 712-2938 |
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