OrganizationActive
Advanced Medical Therapy, LLC
NPI 1326091455 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Phoenix, AZ
Provider details
- NPI number
- 1326091455
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Haddar Ichilov, Business Administrator(602) 439-3800
- License
- OTC 3834 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
15640 North 7th Street
Ste 6
Phoenix, AZ 85022
Phone: (602) 439-3800
Fax: (602) 439-3802
Approximate (ZIP-level) locationGet directions
Mailing address
15640 North 7th Street
Phoenix, AZ 85022
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2011-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.