| Fyzical South Scottsdale | |
|
3337 N Miller Rd Scottsdale AZ 85251-6495 | |
| (847) 997-4344 | |
| Not Available |
| Full Name | Fyzical South Scottsdale |
|---|---|
| Speciality | Clinic/Center |
| Location | 3337 N Miller Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Jennifer Stanko (PRESIDENT) |
| Authorized Official Contact | 8479974344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fyzical South Scottsdale 3337 N Miller Rd Scottsdale AZ 85251-6495 Ph: (847) 997-4344 | Fyzical South Scottsdale 3337 N Miller Rd Scottsdale AZ 85251-6495 Ph: (847) 997-4344 |
| NPI Number | 1962167163 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/08/2022 |
| Medicare PECOS PAC ID | 5092109975 |
|---|---|
| Medicare Enrollment ID | O20220221000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962167163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Alexander Constantino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316464738 PECOS PAC ID: 8022382340 Enrollment ID: I20220426000233 |
| Provider Name | Jiten Dungarani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295190536 PECOS PAC ID: 3173902194 Enrollment ID: I20220628001945 |
| Provider Name | Alexandria Cording |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003535550 PECOS PAC ID: 7416326160 Enrollment ID: I20221220000776 |
| Provider Name | Courtney Colyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740925593 PECOS PAC ID: 5890172662 Enrollment ID: I20230828000097 |
| Provider Name | Eric Daniel Stenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679271068 PECOS PAC ID: 9739522335 Enrollment ID: I20240212000847 |
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