OrganizationActive
Advanced Medical Therapy LLC
NPI 1093193716 · Physical Therapy Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1093193716
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Haddar Ichilov, Administrator(602) 439-3800
- License
- 11525 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
15640 N 7th St Ste 6
Phoenix, AZ 85022-3538
Phone: (602) 439-3800
Approximate (ZIP-level) locationGet directions
Mailing address
16075 W Lincoln St
Goodyear, AZ 85338-2828
Registry dates
- Enumerated
- 2015-05-14
- Last updated
- 2015-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.