OrganizationActive
360 Physical Therapy, LLC
NPI 1154728350 · Physical Therapist · Maricopa, AZ
Provider details
- NPI number
- 1154728350
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Cheryl Brunin, Admin Operations Director(480) 821-1997
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
21083 N John Wayne Pkwy
C103/C104
Maricopa, AZ 85139-2959
Phone: (480) 821-1997
Fax: (480) 821-1887
Approximate (ZIP-level) locationGet directions
Mailing address
21083 N John Wayne Pkwy
Maricopa, AZ 85139-2959
Other names (DBA / former)
- Doing business as
- 360 Physical Therapy
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2014-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.