| High Desert Physical Therapy And Sports Rehabilitation, Pllc | |
| 
					221 W Second St, Winslow, AZ 86047-3564  | |
| (928) 289-4378 | |
| (928) 289-5116 | 
| Full Name | High Desert Physical Therapy And Sports Rehabilitation, Pllc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 221 W Second St, Winslow, Arizona | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518937325 | NPI | - | NPPES | 
| 788599 | Medicaid | AZ | |
| 094792 | Medicaid | AZ | |
| DA1420 | Other | AZ | RR MEDICARE | 
| Z75082 | Other | AZ | MEDICARE UPIN | 
| 356263 | Medicaid | AZ | |
| Z197326 | Other | AZ | MEDICARE UPIN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 1993 (Arizona) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| High Desert Physical Therapy And Sports Rehabilitation, Pllc 221 W Second St, Winslow, AZ 86047-3564 Ph: (928) 289-4378  | High Desert Physical Therapy And Sports Rehabilitation, Pllc 221 W Second St, Winslow, AZ 86047-3564 Ph: (928) 289-4378  | 
Justin Mcelfresh, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 221 W Second St, Winslow, AZ 86047 Phone: 928-289-4378  | |
Dr. Clyde Yellowhair Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646  | |
Mrs. Margaret M Hopson, P.T., D.P.T., O.C.S Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 W Second St, Unit A, Winslow, AZ 86047 Phone: 928-289-4378 Fax: 928-289-5116  | |
Richard Nez,  Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646 Fax: 928-289-6290  | |
Miss Rachel Eileen Dorsey, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 221 W. Second St, Winslow, AZ 86047 Phone: 928-289-4378 Fax: 928-289-5116  | |
Darlene Harmon,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646 Fax: 928-289-6290  |