OrganizationActive
Adult and Pediatric Rehabilitation
NPI 1114274784 · Physical Therapist · San Luis, AZ
Provider details
- NPI number
- 1114274784
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Sergio Macias, Owner(928) 722-6050
- License
- C001071 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Suppliers
Practice location
1453 N Main Street
7
San Luis, AZ 85349
Phone: (928) 722-6050
Fax: (928) 722-6094
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5841
Yuma, AZ 85366-2490
Additional practice locations (2)
- 1962 E Cesar Chavez BlvdBSan Luis, AZ 85349Phone: (928) 627-6621Fax: (928) 627-6617
- 2281 W 24th St Ste 3Yuma, AZ 85364-6197Phone: (928) 726-6592Fax: (928) 344-3960
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2024-04-01
- Certified
- 2023-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.