Provider Demographics
NPI:1770507394
Name:HEALTHWORKS PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:HEALTHWORKS PHYSICAL THERAPY, INC.
Other - Org Name:FIRST CHOICE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NONA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOLTZAPFEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-867-1887
Mailing Address - Street 1:3902 E TARO LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-6351
Mailing Address - Country:US
Mailing Address - Phone:602-867-1887
Mailing Address - Fax:602-765-1156
Practice Address - Street 1:13754 W BELL RD
Practice Address - Street 2:SUITE 2
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3879
Practice Address - Country:US
Practice Address - Phone:602-867-1887
Practice Address - Fax:602-765-1156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ748225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ155326Medicaid
AZAZ0297890OtherBLUE CROSS
AZAZ0297890OtherBLUE CROSS