Provider Demographics
NPI:1326040585
Name:ADRIENNE R PARRY, P.T., P.C.
Entity Type:Organization
Organization Name:ADRIENNE R PARRY, P.T., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARRY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:520-797-2090
Mailing Address - Street 1:1880 W ORANGE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1129
Mailing Address - Country:US
Mailing Address - Phone:520-797-2090
Mailing Address - Fax:520-797-3138
Practice Address - Street 1:1880 W ORANGE GROVE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1129
Practice Address - Country:US
Practice Address - Phone:520-797-2090
Practice Address - Fax:520-797-3138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ=========OtherCHAMPUS
AZZ28316Medicare PIN