Provider Demographics
NPI:1124035258
Name:INDUSTRIAL HAND AND PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:INDUSTRIAL HAND AND PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRINGBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-688-5859
Mailing Address - Street 1:4050 E COTTON CENTER BLVD STE 18
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-8862
Mailing Address - Country:US
Mailing Address - Phone:480-653-8200
Mailing Address - Fax:
Practice Address - Street 1:8410 W THOMAS RD STE 136
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3374
Practice Address - Country:US
Practice Address - Phone:623-247-4478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-07-16
Deactivation Date:2018-02-22
Deactivation Code:
Reactivation Date:2018-03-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ76390Medicare PIN
AZ4920680001Medicare NSC