Provider Demographics
NPI:1568541134
Name:CADBY, TODD T (PT)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:T
Last Name:CADBY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7430 E PINNACLE PEAK ROAD
Mailing Address - Street 2:SUITE 138
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3630
Mailing Address - Country:US
Mailing Address - Phone:480-502-4324
Mailing Address - Fax:480-502-1397
Practice Address - Street 1:7430 E PINNACLE PEAK ROAD
Practice Address - Street 2:SUITE 138
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3630
Practice Address - Country:US
Practice Address - Phone:480-502-4324
Practice Address - Fax:480-502-1397
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5395225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ68420Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
AZR10392Medicare UPIN