OrganizationActive
360 Physical Therapy LLC
NPI 1154806065 · Physical Therapy Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1154806065
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cheryl Hunnel, Vp of Billing Operations(480) 821-1997
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10861 E Baseline Rd Ste A-105
Mesa, AZ 85209-7921
Phone: (480) 821-1997
Fax: (480) 821-2536
Approximate (ZIP-level) locationGet directions
Mailing address
1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223
Registry dates
- Enumerated
- 2018-09-26
- Last updated
- 2023-03-23
- Certified
- 2023-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.