Ethan C Anderson (NPI# 1063966554, PAC ID# 3476849662) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1063966554 |
| PAC ID by PECOS | 3476849662 |
| Professional Enrollment ID | I20160914002839 |
| Full Name | Ethan C Anderson |
| Organization Legal Name | FOOTHILLS SPORTS MEDICINE AND REHABILITATION-SURPRISE, INC |
| Address |
15543 N Reems Rd Suite 133 Surprise AZ 85374-9582 |
| Phone Number | 6239755374 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1658439468 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 | 6239755374 | FOOTHILLS SPORTS MEDICINE AND REHABILITATION-SURPRISE, INC |
| Organization Legal Name | FOOTHILLS SPORTS MEDICINE AND REHABILITATION-SURPRISE, INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taiwo O Adeshigbin | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| Joel A Kramer | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| Layne Cooper | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| William D Burleson | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| David A Johnston | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| Janene K Alcantar | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| Clinton C Borman | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| Carol Francis | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Surprise, AZ 85374-9501 |
| Geoffrey B Betz | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9501 |
| Street Address |
15543 N REEMS RD SUITE 133 |
| City | SURPRISE |
| State | AZ |
| Zip | 85374-9582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taiwo O Adeshigbin | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| Joel A Kramer | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| Layne Cooper | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| William D Burleson | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| David A Johnston | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| Janene K Alcantar | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| Clinton C Borman | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9582 |
| Carol Francis | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Surprise, AZ 85374-9501 |
| Geoffrey B Betz | Physical Therapy | Foothills Sports Medicine and Rehabilitation-surprise, Inc | 15543 N Reems Rd, Suite 133, Surprise, AZ 85374-9501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beat E Bisenz | Psychologist, Clinical | 15508 W Bell Rd, Suite 101 146, Surprise, AZ 85374-0901 | |
| Charles W Enouen | Chiropractic | 15508 W Bell Rd, Suite 105, Surprise, AZ 85374-2432 | |
| Tanay J Amin | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Janice L Croll | Occupational Therapy | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Rommel Paulo P Mesola | Family Medicine | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Barbara K Bialowolska Romaniuk | Internal Medicine | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Daniel Schneider | Physical Therapy | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Jeffrey Ryan Willenbrecht | Physical Therapy | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Cody Paul Olson | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 13951 W Grand Ave, Suite 201, Surprise, AZ 85374-2436 |
| Albert C Ruttinger | Family Medicine | 13951 W Grand Ave, Suite 230, Surprise, AZ 85374-2436 | |
| Find all physicians in zip 85374 | |||
| City | SURPRISE |
| Zip Code | 85374 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SURPRISE + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.