Provider Demographics
NPI:1043380918
Name:HARPER PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:HARPER PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:T
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:623-742-7338
Mailing Address - Street 1:41818 N VENTURE DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-3188
Mailing Address - Country:US
Mailing Address - Phone:623-742-7338
Mailing Address - Fax:623-742-7339
Practice Address - Street 1:41818 N VENTURE DR
Practice Address - Street 2:SUITE 120
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-3188
Practice Address - Country:US
Practice Address - Phone:623-742-7338
Practice Address - Fax:623-742-7339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5255225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ70543Medicare PIN