Provider Demographics
NPI:1972699643
Name:MAIORANA, JAMES JOSEPH (DPT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOSEPH
Last Name:MAIORANA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1983 COMMERCE CENTER CIR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-4454
Mailing Address - Country:US
Mailing Address - Phone:928-771-1700
Mailing Address - Fax:928-771-9900
Practice Address - Street 1:1983 COMMERCE CENTER CIR
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-4454
Practice Address - Country:US
Practice Address - Phone:928-771-1700
Practice Address - Fax:928-771-9900
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-008850225100000X
CA32379225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist