| Colby David Degaetano, DPT | |
|
14520 W Granite Valley Dr Ste 110, Sun City West, AZ 85375-5855 | |
| (866) 974-2673 | |
| (866) 939-2673 |
| Full Name | Colby David Degaetano |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 14520 W Granite Valley Dr Ste 110, Sun City West, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538681341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | 360 Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932430949 PECOS PAC ID: 1355237645 Enrollment ID: O20040224000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Colby David Degaetano, DPT 18444 N 25th Ave Ste 320, Phoenix, AZ 85023-1266 Ph: (866) 974-2673 | Colby David Degaetano, DPT 14520 W Granite Valley Dr Ste 110, Sun City West, AZ 85375-5855 Ph: (866) 974-2673 |
Annette Tomaska, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14906 W Antelope Dr, Sun City West, AZ 85375 Phone: 630-329-9705 | |
Kimberly Diane Hilditch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14418 W Meeker Blvd Ste 103, Sun City West, AZ 85375 Phone: 623-546-6712 Fax: 623-546-6739 | |
Northwest Orthopedic & Sports Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 13540 W Camino Del Sol Ste 6, Sun City West, AZ 85375 Phone: 623-556-5013 Fax: 480-508-5894 | |
Joseph Flavius Marian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14520 W Granite Valley Dr Ste 110, Sun City West, AZ 85375 Phone: 866-974-2673 Fax: 866-939-2673 | |
Dorland Physical Therapy And Rehab Specialists Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13629 W Camino Del Sol, Sun City West, AZ 85375 Phone: 866-476-3338 Fax: 623-556-8106 | |
Joseph Jabrucki, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14520 W Granite Valley Dr Ste 110, Sun City West, AZ 85375 Phone: 866-974-2673 | |
Zaccary George Ekdahl, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14520 W Granite Valley Dr Ste 110, Sun City West, AZ 85375 Phone: 866-974-2673 |