Colorado River Physical Therapy LLC
NPI 1245965342 · Physical Therapist · Fort Mohave, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Colorado River Physical Therapy LLC is a Physical Therapist organization in Fort Mohave, AZ (NPI 1245965342).
Provider details
- NPI number
- 1245965342
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Hanz Tabora, Physical Therapist/ Officer(928) 248-0444
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Tri State Physical Therapy
Additional practice locations (1)
- 1987 Mcculloch Blvd N Ste 101Lake Havasu City, AZ 86403-5770Phone: (928) 788-3333
Registry dates
- Enumerated
- 2022-07-21
- Last updated
- 2023-09-29
- Certified
- 2023-09-29
Frequently asked questions
- What is Colorado River Physical Therapy LLC's NPI number?
- Colorado River Physical Therapy LLC's National Provider Identifier (NPI) is 1245965342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colorado River Physical Therapy LLC?
- Colorado River Physical Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Colorado River Physical Therapy LLC located?
- Colorado River Physical Therapy LLC's practice location on file with NPPES is 1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697.
- What is Colorado River Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Colorado River Physical Therapy LLC is (928) 788-3333.
- Does Colorado River Physical Therapy LLC accept Medicare?
- Colorado River Physical Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Colorado River Physical Therapy LLC?
- The authorized official listed on Colorado River Physical Therapy LLC's NPPES record is Hanz Tabora, Physical Therapist/ Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colorado River Physical Therapy LLC's NPI active?
- Yes — Colorado River Physical Therapy LLC's NPI (1245965342) is active in the NPPES registry as of the last update on 2023-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.