Provider Demographics
NPI:1013125483
Name:GIARDINA SPORTSMEDICINE CONSULTANTS, INC.
Entity Type:Organization
Organization Name:GIARDINA SPORTSMEDICINE CONSULTANTS, INC.
Other - Org Name:TOTAL SPORTS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:
Authorized Official - Last Name:GIARDINA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:480-272-7140
Mailing Address - Street 1:PO BOX 71846
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-1015
Mailing Address - Country:US
Mailing Address - Phone:480-272-7140
Mailing Address - Fax:
Practice Address - Street 1:4730 E LONE MOUNTAIN RD STE 114
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5539
Practice Address - Country:US
Practice Address - Phone:480-272-7140
Practice Address - Fax:480-361-8216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ107228Medicare PIN