360 Physical Therapy LLC
Clinic/Center, Multi-Specialty in Chandler, AZ. Organization (NPI-2).
NPI number1275576589
StatusActive
Last updated in NPPESJul 8, 2026
Details
- NPI
- 1275576589
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2006
- Certification date
- Jul 8, 2026
- Last updated
- Jul 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Other names
- LLC (Doing Business As)
Practice location
1076 W Chandler BlvdSte 103
Chandler, AZ 85224-5225
Phone 480-821-1997 · Fax 480-821-1887
Mailing address
1076 W Chandler Blvd Ste 103Chandler, AZ 85224-5223
Phone 480-821-1997 · Fax 480-821-1887
Authorized official
Robert Pace
Owner
2138041712
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