OrganizationActive
360 Physical Therapy LLC
NPI 1841712908 · Physical Medicine & Rehabilitation Physician · Glendale, AZ
Provider details
- NPI number
- 1841712908
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Brunin, Vp of Billing Operations(480) 821-1997
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6630 W Cactus Rd Ste B112
Glendale, AZ 85304-1662
Phone: (480) 821-1997
Fax: (480) 782-5213
Approximate (ZIP-level) locationGet directions
Mailing address
1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223
Other names (DBA / former)
- Doing business as
- 360 Physical Therapy
Registry dates
- Enumerated
- 2017-07-11
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.