360 PHYSICAL THERAPY LLC (NPI# 1841712908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841712908 |
| Entity Type | Organization |
| Organization Name | 360 PHYSICAL THERAPY LLC |
| Other Organization Name | 360 PHYSICAL THERAPY |
| Practice Address |
6630 W Cactus Rd Ste B112 Glendale AZ 85304-1662 |
| Mailing Address |
1076 W Chandler Blvd Ste 103 Chandler AZ 85224-5223 |
| Practice Telephone | 4808211997 |
| Practice Fax Number | 4807825213 |
| Mailing Telephone | 4808211997 |
| Mailing Fax Number | 4807825213 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | CHERYL BRUNIN (VP OF BILLING OPERATIONS) |
| Authorized Official Telephone | 4808211997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| 360 Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592995 | 360 Physical Therapy LLC | Physical Therapist | 1472 E Williams Field Rd Ste 100, Gilbert, AZ 85295-1814 | 2020-06-11 |
| 1154806065 | 360 Physical Therapy LLC | Clinic/Center | 10861 E Baseline Rd Ste A-105, Mesa, AZ 85209-7921 | 2018-09-26 |
| 1689115164 | 360 Physical Therapy LLC | Physical Therapist | 21576 S Ellsworth Loop Rd, 150, Queen Creek, AZ 85142 | 2017-03-16 |
| 1801260575 | 360 Physical Therapy LLC | Physical Therapist | 1954 E University Dr, Tempe, AZ 85281-4603 | 2015-11-18 |
| 1851764377 | 360 Physical Therapy LLC | Physical Therapist | 1952 E University Dr, Tempe, AZ 85281 | 2015-11-05 |
| 1073646980 | 360 Physical Therapy LLC | Specialist | 4210 E Baseline Rd, Ste 106, Mesa, AZ 85206-4417 | 2007-03-13 |
| 1982737896 | 360 Physical Therapy LLC | Specialist | 1965 S Alma School Rd, Ste 5, Chandler, AZ 85225-5225 | 2007-03-13 |
| 1164555074 | 360 Physical Therapy LLC | Specialist | 25229 S Sun Lakes Blvd 119, Sun Lakes, AZ 85248-5225 | 2007-03-13 |
| 1447604459 | 360 Physical Therapy LLC | Physical Therapist | 4022 E Greenway Rd, Ste 1, Phoenix, AZ 85032-4797 | 2016-04-15 |
| 1932571007 | 360 Physical Therapy LLC | Physical Therapist | 8322 E Mcdowell Rd, Scottsdale, AZ 85257-3820 | 2015-10-28 |
| Street Address |
6630 W CACTUS RD STE B112 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-1662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588130447 | Bryan R Ching | Physical Medicine & Rehabilitation | 1809 Verdugo Blvd Ste 160, Glendale, CA 91208-1417 | 2018-10-18 |
| 1124512496 | Robin Blunck | Physical Medicine & Rehabilitation | 6630 W Cactus Rd Ste B112-113, Glendale, AZ 85304-1600 | 2018-06-19 |
| 1619469699 | Honorhealth Medical Group, LLC | Physical Medicine & Rehabilitation | 6220 W Bell Rd Ste 130, Glendale, AZ 85308-3896 | 2018-06-05 |
| 1861993586 | Harry Wong | Physical Medicine & Rehabilitation | 17100 North 67th Ave, Bld 1, Suite 100, Glendale, AZ 85308-3612 | 2018-02-27 |
| 1265932180 | Lord Christopher Bagacina Larcena | Physical Medicine & Rehabilitation | 212 W Garfield Ave Apt 108, Glendale, CA 91204-2146 | 2018-02-16 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1497924864 | Maxim Moradian | Physical Medicine & Rehabilitation | 1500 S Central Ave Ste 101, Glendale, CA 91204-2563 | 2008-02-29 |
| 1427236868 | Prodynamic Care Physical Therapy, Pllc | Physical Medicine & Rehabilitation | 78-01 Myrtle Ave, Glendale, NY 11385-7439 | 2008-02-07 |
| 1245419829 | Wellness P.t. & Rehab, Inc | Physical Medicine & Rehabilitation | 425 W Broadway, Suite 112, Glendale, CA 91204-4118 | 2007-10-30 |
| 1790964377 | Marina Melkonova | Physical Medicine & Rehabilitation | 1010 N Glendale Ave, Ste 2, Glendale, CA 91206-2157 | 2007-10-30 |
| Find all providers in GLENDALE | ||||
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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.