| |
12460 N. Rancho Vistoso Blvd., Suite 140, Oro Valley, AZ 85755 | |
(520) 615-6573 | |
(520) 575-7014 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 12460 N. Rancho Vistoso Blvd., Oro Valley, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639236581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Robert E Klingman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336206226 PECOS PAC ID: 6507968260 Enrollment ID: I20070227000144 |
Provider Name | Kelly Sanders |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316978182 PECOS PAC ID: 4789664988 Enrollment ID: I20070628000571 |
Provider Name | Kristi Carriere |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568579589 PECOS PAC ID: 0042307290 Enrollment ID: I20071105000150 |
Provider Name | Lukas L Tvedt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659537207 PECOS PAC ID: 7719053644 Enrollment ID: I20080829000159 |
Provider Name | Anna Stutz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811275183 PECOS PAC ID: 5890968671 Enrollment ID: I20111024000715 |
Provider Name | Rocio Flores |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669726394 PECOS PAC ID: 5991959066 Enrollment ID: I20130128000147 |
Provider Name | Trevor J Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376942839 PECOS PAC ID: 4082834619 Enrollment ID: I20141003000031 |
Provider Name | Daniel Musselwhite |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699292268 PECOS PAC ID: 7719252238 Enrollment ID: I20171010002395 |
Provider Name | Kalahan Slette |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144653569 PECOS PAC ID: 5799914883 Enrollment ID: I20191029003673 |
Provider Name | Kinzie A Rhoades |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447885694 PECOS PAC ID: 5092145128 Enrollment ID: I20200413004170 |
Provider Name | Julie Butler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538197819 PECOS PAC ID: 8921141425 Enrollment ID: I20210503001337 |
Provider Name | Lisa Fierstein |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396855144 PECOS PAC ID: 2567452345 Enrollment ID: I20210915002133 |
Provider Name | Angelica Marie Maldonado |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316685027 PECOS PAC ID: 0941688022 Enrollment ID: I20220601002094 |
Provider Name | Claire E Pavlak |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730810516 PECOS PAC ID: 8426438615 Enrollment ID: I20220706001173 |
Provider Name | Selamawit Fantaye |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588377832 PECOS PAC ID: 5991176679 Enrollment ID: I20230116000714 |
Provider Name | Fernando Dominguez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477243079 PECOS PAC ID: 0648624122 Enrollment ID: I20240815003735 |
Provider Name | Courtney Marenkovic |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255020970 PECOS PAC ID: 2264894997 Enrollment ID: I20241113001227 |
Mailing Address | Practice Location Address |
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408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805 | 12460 N. Rancho Vistoso Blvd., Suite 140, Oro Valley, AZ 85755 Ph: (520) 615-6573 |