Provider Demographics
NPI:1568916518
Name:THE DOCTORS OF PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:THE DOCTORS OF PHYSICAL THERAPY LLC
Other - Org Name:THE DOCTORS OF PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CSCS
Authorized Official - Phone:505-379-1062
Mailing Address - Street 1:7645 E EVANS RD STE 135
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3492
Mailing Address - Country:US
Mailing Address - Phone:505-379-1062
Mailing Address - Fax:
Practice Address - Street 1:7645 E EVANS RD STE 135
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3492
Practice Address - Country:US
Practice Address - Phone:505-379-1062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty