| Foothills Sports Medicine And Rehabilitation, Llc. | |
|
7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 | |
| (623) 376-9100 | |
| (623) 376-9141 |
| Full Name | Foothills Sports Medicine And Rehabilitation, Llc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7707 W Deer Valley Rd, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851490866 | NPI | - | NPPES |
| Provider Name | Douglas G Howard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407956352 PECOS PAC ID: 1557395712 Enrollment ID: I20050927000244 |
| Provider Name | Michael L Basten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184616518 PECOS PAC ID: 2062403744 Enrollment ID: I20051108000013 |
| Provider Name | Jamie R Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669527024 PECOS PAC ID: 8022100965 Enrollment ID: I20070822001455 |
| Provider Name | Jennifer L Schreiber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275784308 PECOS PAC ID: 3274695887 Enrollment ID: I20081216000291 |
| Provider Name | Stacey E Scherzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346422375 PECOS PAC ID: 5890848717 Enrollment ID: I20090724000423 |
| Provider Name | Kevin J Truitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508175019 PECOS PAC ID: 6406038371 Enrollment ID: I20110314000879 |
| Provider Name | Logan M Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477999449 PECOS PAC ID: 3476793738 Enrollment ID: I20130709000840 |
| Provider Name | Scott C Sassaman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184041956 PECOS PAC ID: 9234355488 Enrollment ID: I20140723001778 |
| Provider Name | Andrew M Songer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073914271 PECOS PAC ID: 6507088416 Enrollment ID: I20141110000857 |
| Provider Name | Kevin J Girard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669720363 PECOS PAC ID: 8224356522 Enrollment ID: I20150417000019 |
| Provider Name | Michael Peronace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992815583 PECOS PAC ID: 6002869716 Enrollment ID: I20151214000293 |
| Provider Name | Todd A Waterkotte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427064575 PECOS PAC ID: 4284687385 Enrollment ID: I20160602001429 |
| Provider Name | Bethany R Urquidez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316386808 PECOS PAC ID: 1355576661 Enrollment ID: I20160831001272 |
| Provider Name | Ethan C Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063966554 PECOS PAC ID: 3476849662 Enrollment ID: I20160914002839 |
| Provider Name | Christopher K Heezen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639681216 PECOS PAC ID: 1153689823 Enrollment ID: I20171229002432 |
| Provider Name | Jordon L Bleau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184132029 PECOS PAC ID: 0547520587 Enrollment ID: I20180212001755 |
| Provider Name | Alexander Robert Rodriguez Del Villar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033626569 PECOS PAC ID: 9133489925 Enrollment ID: I20180216001840 |
| Provider Name | Tracy C Flood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700446572 PECOS PAC ID: 0749516698 Enrollment ID: I20190730002457 |
| Provider Name | Andrew Yanes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003416595 PECOS PAC ID: 6901218387 Enrollment ID: I20201208002333 |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Sports Medicine And Rehabilitation, Llc. 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 Ph: (480) 706-1161 | Foothills Sports Medicine And Rehabilitation, Llc. 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 Ph: (623) 376-9100 |
Michelle Renae Wagoner, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9713 W Tonopah Dr, Peoria, AZ 85382 Phone: 480-381-0220 Fax: 623-594-9094 | |
Bradley Day, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8643 W Kelton Ln Ste 106, Peoria, AZ 85382 Phone: 623-979-8900 Fax: 480-860-0356 | |
Adam Reed, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25101 N Lake Pleasant Pkwy Ste B1340, Peoria, AZ 85383 Phone: 623-471-5550 Fax: 623-471-5551 | |
Total Body Zone Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8440 W Thunderbird Rd, Peoria, AZ 85381 Phone: 623-776-9662 Fax: 623-776-2813 | |
Brentom, Llc, Physical Therapist Medicare: Medicare Enrolled Practice Location: 20783 N 83rd Ave Ste 103, Peoria, AZ 85382 Phone: 623-444-8880 Fax: 623-444-9282 | |
Dr. Lindsey K Tellez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9401 W Thunderbird Rd Ste 190, Peoria, AZ 85381 Phone: 623-977-5451 | |
Lanora Riley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6760 W Thunderbird Rd Ste E110, Peoria, AZ 85381 Phone: 623-846-7614 Fax: 623-846-0993 |