Michelle A Bambenek (NPI# 1730368580, PAC ID# 4688762743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1730368580 |
PAC ID by PECOS | 4688762743 |
Professional Enrollment ID | I20071127000046 |
Full Name | Michelle A Bambenek |
Organization Legal Name | AFFINITY PHYSICAL THERAPY LLC |
Address |
1491 N Arizona Blvd Suite 109 Coolidge AZ 85128-3261 |
Phone Number | 5208680098 |
Gender | F |
Graduation Year | 2007 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 7214099886 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 | 5208680098 | AFFINITY PHYSICAL THERAPY LLC |
1491 N Arizona Blvd, Coolidge, AZ 85128-3261 | 5208680098 | AFFINITY PHYSICAL THERAPY LLC |
Organization Legal Name | AFFINITY PHYSICAL THERAPY LLC |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wesley S Watson | Physical Therapy | Affinity Physical Therapy LLC | 350 S Main St, Florence, AZ 85132 |
Jared Anthony Egan | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 |
Dorothy Alexandra Randall | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 |
Jo Ann Hiroshige | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 |
Joshua Hamilton | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 |
Stacy M Crow | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 |
Will Andrew Humphreys | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Coolidge, AZ 85128-3261 |
Street Address |
1491 N ARIZONA BLVD SUITE 109 |
City | COOLIDGE |
State | AZ |
Zip | 85128-3261 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jared Anthony Egan | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 |
Dorothy Alexandra Randall | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 |
Jo Ann Hiroshige | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 |
Joshua Hamilton | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 |
Stacy M Crow | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Suite 109, Coolidge, AZ 85128-3261 |
Will Andrew Humphreys | Physical Therapy | Affinity Physical Therapy LLC | 1491 N Arizona Blvd, Coolidge, AZ 85128-3261 |
Name | Specialty | Organization | Address |
---|---|---|---|
Terry Osback | Psychiatry | County of Santa Clara | 650 S Bascom Ave, San Jose, CA 85128-2601 |
Robin D Wilson | Nurse Practitioner | Sun Life Family Health Center Inc | 1284 N Arizona Blvd, Coolidge, AZ 85128-3206 |
Gary A Hendrix | Chiropractic | 803 N Arizona Blvd, Coolidge, AZ 85128-3921 | |
Chetan S Patel | Nurse Practitioner | 171 W Central Ave, Coolidge, AZ 85128-4405 | |
Edward J Powell | Physician Assistant | 171 W Central Ave, Coolidge, AZ 85128-4405 | |
Roger B Ethington | Optometry | Southwestern Eye Center, Ltd | 371 W Central, Coolidge, AZ 85128-4706 |
Judith T Yurgel | Nurse Practitioner | Pinal Hispanic Council | 556 S Arizona Blvd, Coolidge, AZ 85128-5106 |
City | COOLIDGE |
Zip Code | 85128 |
Specialty | PHYSICAL THERAPY |
City + Specialty | COOLIDGE + 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.