Organization
CENTER FOR ATHLETIC PERFORMANCE & PHYSICAL THERAPY LLC
Active
Organization
CENTER FOR ATHLETIC PERFORMANCE & PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS PAUL BRATCHER P.T. (PHYSICAL THERAPIST OWNER)
(602) 380-6807
Entity
Organization
Contact information
Practice address
5325 E PERSHING AVE, SCOTTSDALE, AZ 85254-3627
(602) 380-6807
Mailing address
5325 E PERSHING AVE, SCOTTSDALE, AZ 85254-3627
(602) 380-6807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0911867
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080077
—
AZ
01
—
6696940001
MEDICARE DME
AZ
Enumeration date
02/14/2007
Last updated
05/14/2024
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