OrganizationActive
360 Physical Therapy LLC
NPI 1649965427 · Specialist · Goodyear, AZ
Provider details
- NPI number
- 1649965427
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Robert Pace, Coo(213) 804-1712
Specialties & taxonomies
Other Service Providers
Practice location
1382 S Cotton Ln
Goodyear, AZ 85338-4657
Phone: (520) 438-7091
Approximate (ZIP-level) locationGet directions
Mailing address
2035 Corte Del Nogal Ste 200
Carlsbad, CA 92011-1445
Registry dates
- Enumerated
- 2023-04-07
- Last updated
- 2023-04-07
- Certified
- 2023-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.