| Foothills Sports Medicine & Rehabilitation - Sun City, Llc | |
|
13933 W Grand Ave, Suite 301, Surprise, AZ 85374-2435 | |
| (623) 474-3952 | |
| Not Available |
| Full Name | Foothills Sports Medicine & Rehabilitation - Sun City, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 13933 W Grand Ave, Surprise, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558784660 | NPI | - | NPPES |
| Provider Name | James H Kostrewa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679576698 PECOS PAC ID: 1557273927 Enrollment ID: I20040728000049 |
| 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 | James W Kester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801863238 PECOS PAC ID: 6305945510 Enrollment ID: I20070628000068 |
| 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 | 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 | Layne Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598145609 PECOS PAC ID: 7618282484 Enrollment ID: I20150824000835 |
| 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 | Max M Mangabat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639624075 PECOS PAC ID: 3476841156 Enrollment ID: I20161012001723 |
| Provider Name | Joshua R Niesen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942719547 PECOS PAC ID: 9537425285 Enrollment ID: I20171113001811 |
| Provider Name | William D Burleson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780230128 PECOS PAC ID: 3971833641 Enrollment ID: I20190923001858 |
| Provider Name | Luis F Lobo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578109583 PECOS PAC ID: 6406280114 Enrollment ID: I20200103001886 |
| Provider Name | Clarke B Antonio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255943874 PECOS PAC ID: 4183043433 Enrollment ID: I20201006001317 |
| Provider Name | Jack Dylan N Webster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932713286 PECOS PAC ID: 0941611800 Enrollment ID: I20201124003361 |
| Provider Name | Austin R Widick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609534205 PECOS PAC ID: 4981095445 Enrollment ID: I20211217001157 |
| Provider Name | Brooke Rehm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841868445 PECOS PAC ID: 9638570500 Enrollment ID: I20211220001896 |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Sports Medicine & Rehabilitation - Sun City, Llc 4715 N 32nd St, Suite 108, Phoenix, AZ 85018-3300 Ph: (480) 689-5520 | Foothills Sports Medicine & Rehabilitation - Sun City, Llc 13933 W Grand Ave, Suite 301, Surprise, AZ 85374-2435 Ph: (623) 474-3952 |
Ashley Rubenstein, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14239 W Bell Rd Ste 104, Surprise, AZ 85374 Phone: 623-600-8333 | |
Dr. Kathleen Nicole Shafer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15543 N Reems Rd, Surprise, AZ 85374 Phone: 623-975-5374 | |
Nicholas Russo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16811 N Litchfield Rd Ste 101, Surprise, AZ 85374 Phone: 602-313-4045 Fax: 623-322-0664 | |
Northwest Orthopedic & Sports Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 14800 W Mountain View Blvd Ste 260, Surprise, AZ 85374 Phone: 623-556-5013 Fax: 623-556-9290 | |
Elana Trejo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 13933 W Grand Ave, Surprise, AZ 85374 Phone: 623-474-3952 | |
Arizona Mobile Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 15239 W Alexandria Way, Surprise, AZ 85379 Phone: 480-698-6049 Fax: 480-371-2743 | |
Ms. Patricia Ann Graham, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15802 North Parkview Place, Surprise, AZ 85374 Phone: 623-876-7022 Fax: 623-876-7060 |