Provider Demographics
NPI:1093037111
Name:ATS CLINICS
Entity Type:Organization
Organization Name:ATS CLINICS
Other - Org Name:ACHIEVEMENT THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BERAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:480-488-3946
Mailing Address - Street 1:7120 E SAHUARO DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6181
Mailing Address - Country:US
Mailing Address - Phone:480-488-3946
Mailing Address - Fax:480-488-3956
Practice Address - Street 1:7120 E SAHUARO DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6181
Practice Address - Country:US
Practice Address - Phone:480-488-3946
Practice Address - Fax:480-488-3956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ00238261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ586092OtherAHCCCS