Provider Demographics
NPI:1861550873
Name:SENSKA PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:SENSKA PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SENSKA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:928-646-7051
Mailing Address - Street 1:657 E COTTONWOOD ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-4407
Mailing Address - Country:US
Mailing Address - Phone:928-646-7051
Mailing Address - Fax:928-646-7053
Practice Address - Street 1:657 E COTTONWOOD ST
Practice Address - Street 2:SUITE 10
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4407
Practice Address - Country:US
Practice Address - Phone:928-646-7051
Practice Address - Fax:928-646-7053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5547174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0461890OtherBCBS GROUP NUMBER
AZ68807Medicare ID - Type UnspecifiedGROUP NUMBER
AZZ68807Medicare PIN