Provider Demographics
NPI:1164661195
Name:TOUCH OF CARE PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:TOUCH OF CARE PHYSICAL THERAPY, LLC
Other - Org Name:EASE THE PAIN PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MSPT
Authorized Official - Phone:480-854-7246
Mailing Address - Street 1:3514 N POWER RD
Mailing Address - Street 2:SUITE 133
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-2903
Mailing Address - Country:US
Mailing Address - Phone:480-854-7246
Mailing Address - Fax:888-602-4914
Practice Address - Street 1:3514 N POWER RD
Practice Address - Street 2:SUITE 133
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-2903
Practice Address - Country:US
Practice Address - Phone:480-854-7246
Practice Address - Fax:888-602-4914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-15
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5480261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ129007Medicare UPIN