Provider Demographics
NPI:1598996209
Name:HOFFMAN, HAROLD NATHAN (PT)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:NATHAN
Last Name:HOFFMAN
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 1:7331 E OSBORN DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6435
Mailing Address - Country:US
Mailing Address - Phone:480-443-0409
Mailing Address - Fax:877-375-0934
Practice Address - Street 1:7331 E OSBORN DR
Practice Address - Street 2:SUITE 410
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6435
Practice Address - Country:US
Practice Address - Phone:480-443-0409
Practice Address - Fax:877-375-0934
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8583225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ91587OtherMEDICARE PTAN
AZZ159364OtherMEDICARE PTAN