Provider Demographics
NPI:1144971235
Name:SCOTTSDALE PHYSICAL THERAPY & PERFORMANCE
Entity type:Organization
Organization Name:SCOTTSDALE PHYSICAL THERAPY & PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:SINDA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:480-680-8219
Mailing Address - Street 1:7419 E HELM DR STE A
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2470
Mailing Address - Country:US
Mailing Address - Phone:480-680-8219
Mailing Address - Fax:
Practice Address - Street 1:7419 E HELM DR STE A
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2470
Practice Address - Country:US
Practice Address - Phone:480-680-8219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-11
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy