Provider Demographics
NPI:1386864262
Name:NORTHCUTT PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:NORTHCUTT PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NORTHCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:MS PT ATC
Authorized Official - Phone:623-889-3480
Mailing Address - Street 1:2020 W WHISPERING WIND DR
Mailing Address - Street 2:STE 119
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-2848
Mailing Address - Country:US
Mailing Address - Phone:623-889-3480
Mailing Address - Fax:623-889-3481
Practice Address - Street 1:2020 W WHISPERING WIND DR
Practice Address - Street 2:STE 119
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-2848
Practice Address - Country:US
Practice Address - Phone:623-889-3480
Practice Address - Fax:623-889-3481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1386864262OtherBCBS
2Z7238OtherHEALTHNET
AZ1386864262OtherBCBS