Provider Demographics
NPI:1023358512
Name:THERAPY ACCOMPLISHED LLC
Entity Type:Organization
Organization Name:THERAPY ACCOMPLISHED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:928-279-3652
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:YUCCA
Mailing Address - State:AZ
Mailing Address - Zip Code:86438-0155
Mailing Address - Country:US
Mailing Address - Phone:928-279-3652
Mailing Address - Fax:888-446-5008
Practice Address - Street 1:11071 S CAMELBACK ROAD
Practice Address - Street 2:
Practice Address - City:YUCCA
Practice Address - State:AZ
Practice Address - Zip Code:86438-0155
Practice Address - Country:US
Practice Address - Phone:928-279-3652
Practice Address - Fax:888-446-5008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ803334Medicaid