OrganizationActive
Colorado River Physical Therapy LLC
NPI 1245965342 · Physical Therapist · Fort Mohave, AZ
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
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1510 E Wagon Wheel Ln
Fort Mohave, AZ 86426-6697
Phone: (928) 788-3333
Fax: (928) 788-3555
Street-level locationGet directions
Mailing address
1510 E Wagon Wheel Ln Ste 110
Fort Mohave, AZ 86426-6698
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.