| Connor Ward, | |
|
40601 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140-7036 | |
| (602) 648-5444 | |
| (602) 772-3801 |
| Full Name | Connor Ward |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 40601 N Gantzel Rd Ste 103, San Tan Valley, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245942325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | LPT-32697 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Foothills Sports Medicine And Rehabilitation Llc | 2668457979 | 172 |
| Provider Name | Foothills Sports Medicine & Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558318170 PECOS PAC ID: 2668457979 Enrollment ID: O20040621001886 |
| Provider Name | Ati Holdings of Arizona LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Ward, Po Box 80217, Phoenix, AZ 85060-0217 Ph: (602) 385-2115 | Connor Ward, 40601 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140-7036 Ph: (602) 648-5444 |
Andrea Ruth Jennings, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 |
Bryce Petersen, PT, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2510 E Hunt Hwy Ste 27, San Tan Valley, AZ 85143 Phone: 480-618-0480 Fax: 480-618-0481 |
Eric L Shifley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 37591 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 Phone: 480-590-8504 |
Jonathan Randall, Physical Therapist Medicare: Medicare Enrolled Practice Location: 36397 N Gantzel Rd, #102, San Tan Valley, AZ 85140 Phone: 480-567-2987 Fax: 480-347-0240 |
Elaina Nicole Quinn, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 |
Samantha Kilbourne, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 |
Jim W Roarty, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40601 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140 Phone: 602-648-5444 Fax: 602-772-3801 |