OrganizationActive
360 Physical Therapy LLC
NPI 1689115164 · Physical Therapist · Queen Creek, AZ
Provider details
- NPI number
- 1689115164
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Cheryl Brunin, Revenue Process Manager
Practice location
21576 S Ellsworth Loop Rd
150
Queen Creek, AZ 85142
Phone: (480) 821-1997
Fax: (480) 782-5213
Mailing address
21576 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Registry dates
- Enumerated
- 2017-03-16
- Last updated
- 2017-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.