| Above & Beyond Therapy Services Llc | |
|
3233 W Peoria Ave, Suite 224, Phoenix, AZ 85029-4614 | |
| (602) 866-2231 | |
| (602) 866-2261 |
| Full Name | Above & Beyond Therapy Services Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 3233 W Peoria Ave, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124011812 | NPI | - | NPPES |
| 637689 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Arizona) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (Arizona) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (Arizona) | Secondary |
| Provider Name | Charles T Gifford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396758868 PECOS PAC ID: 2062313794 Enrollment ID: I20040714000178 |
| Provider Name | Thomas J Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053304840 PECOS PAC ID: 2062440787 Enrollment ID: I20050809000439 |
| Provider Name | Megan L Mccarty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114278611 PECOS PAC ID: 4284888082 Enrollment ID: I20130201000354 |
| Provider Name | Levi M Street |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508313966 PECOS PAC ID: 9032407705 Enrollment ID: I20161012001592 |
| Provider Name | Brigitta Mannino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235718560 PECOS PAC ID: 9830595560 Enrollment ID: I20220106001580 |
| Mailing Address | Practice Location Address |
|---|---|
| Above & Beyond Therapy Services Llc 3233 W Peoria Ave, Suite 224, Phoenix, AZ 85029-4614 Ph: (602) 866-2231 | Above & Beyond Therapy Services Llc 3233 W Peoria Ave, Suite 224, Phoenix, AZ 85029-4614 Ph: (602) 866-2231 |