Organization
ADVANCED MEDICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HADDAR ICHILOV PT (BUSINESS ADMINISTRATOR)
(602) 439-3800
Entity
Organization
Contact information
Practice address
15640 NORTH 7TH STREET, STE 6, PHOENIX, AZ 85022
(602) 439-3800
(602) 439-3802
Mailing address
15640 NORTH 7TH STREET, STE 6, PHOENIX, AZ 85022
(602) 439-3800
(602) 439-3802
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OTC 3834
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944349
—
AZ
01
—
AZ0463990
BLUE CROSS
AZ
Enumeration date
05/18/2006
Last updated
11/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us