Individual
MICHAEL PERONACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20325 N 51ST AVE STE 150, GLENDALE, AZ 85308-4622
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-011848
AZ
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006428
LICENSE #
CT
01
—
011848
LICENSE
AZ
01
—
PT01799
LICENSE #
RI
Enumeration date
08/30/2006
Last updated
02/24/2026
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