ADVANCED MEDICAL THERAPY LLC NPI 1326091455

NPI Information

NPI: 1326091455
Provider Name: ADVANCED MEDICAL THERAPY, LLC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
15640 NORTH 7TH STREET
STE 6
PHOENIX, AZ
ZIP 85022
Phone: (602) 439-3800
Get Directions

ADVANCED MEDICAL THERAPY, LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Phoenix, AZ. ADVANCED MEDICAL THERAPY, LLC NPI is 1326091455. The provider is registered as an organization entity type.

The provider's business location address is:

15640 NORTH 7TH STREET
STE 6
PHOENIX, AZ
ZIP 85022
Phone: (602) 439-3800
Fax: (602) 439-3802

The provider's authorized official is Haddar Ichilov .
The authorized official title is Business Administrator and has the following contact phone number (602) 439-3800.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 11/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	OTC 3834	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AZ0463990	OTHER	ARIZONA	BLUE CROSS
2	944349	MEDICAID	ARIZONA
3	034523	MEDICARE OSCAR/CERTIFICATION	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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