Organization
GENESIS PHYSICAL THERAPY, LLC
Active
Other names
Mesa Health Improvement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. N. DOUGLAS ANDERSON (PRESIDENT)
(480) 325-8838
Entity
Organization
Contact information
Practice address
6343 E MAIN ST, SUITE 8, MESA, AZ 85205-8954
(480) 325-8838
(480) 325-9191
Mailing address
6343 E MAIN ST, SUITE 8, MESA, AZ 85205-8954
(480) 325-8838
(480) 325-9191
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OTC4110
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200152
—
AZ
05
—
698269
—
AZ
Enumeration date
11/09/2006
Last updated
10/20/2009
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