ADVANCED MEDICAL THERAPY, LLC (NPI# 1326091455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326091455 |
| Entity Type | Organization |
| Organization Name | ADVANCED MEDICAL THERAPY, LLC |
| Practice Address |
15640 North 7th Street Ste 6 Phoenix AZ 85022 |
| Practice Telephone | 6024393800 |
| Practice Fax Number | 6024393802 |
| Mailing Telephone | 6024393800 |
| Mailing Fax Number | 6024393802 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | MR. HADDAR ICHILOV (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 6024393800 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
OTC 3834 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 944349 | 05 | |
| AZ | BLUE CROSS | AZ0463990 | 01 |
| Street Address |
15640 NORTH 7TH STREET STE 6 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174905517 | Joshua Delgado | Respiratory Therapist, Certified | 15640 North 7th Street, Phoenix, AZ 85022 | 2015-06-22 |
| 1578807343 | Franklin T Miller | Respiratory Therapist, Certified | 15640 North 7th Street, Suite 6, Phoenix, AZ 85022-3538 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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|---|---|---|---|---|
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| 1164862371 | St Peregrine Wound Care LLC | Clinic/Center | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2013-07-02 |
| 1831470103 | Wing Neurological Rehab | Clinic/Center | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2011-08-31 |
| 1083656474 | Native American Connections | Clinic/Center | 4520 N Central Ave, Suite 100, Phoenix, AZ 85012-1828 | 2006-06-12 |
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| 1366641219 | Saguaro Rehabilitation and Aquatic Therapy LLC | Clinic/Center | 305 N Plaza Dr, Apache Junction, AZ 85220-5505 | 2007-07-12 |
| 1073734075 | Toyei Industries Incorporated | Clinic/Center | Tselanicottonwood Chapter 15 Navajo Rt 4, Chinle, AZ 86503-8650 | 2007-05-01 |
| 1104827963 | La Posada At Park Centre Inc | Clinic/Center | 700 S La Posada Cir, Green Valley, AZ 85614-5100 | 2005-08-02 |
| 1669095758 | Scottsdale Mental Health and Wellness Institute | Clinic/Center | 8350 E Raintree Dr Ste 130, Scottsdale, AZ 85260-2692 | 2020-05-22 |
| 1174173579 | Arion Care Solutions, LLC | Clinic/Center | 3200 N Dobson Rd Ste F-2, Chandler, AZ 85224-9611 | 2019-09-17 |
| 1205480142 | Renewcare of Scottsdale, Inc. | Clinic/Center | 3333 N Civic Center Plz, Scottsdale, AZ 85251-6413 | 2019-07-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.