Provider Demographics
NPI:1447306576
Name:APEX PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:APEX PHYSICAL THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LIHVARCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:602-373-6724
Mailing Address - Street 1:5406 E CALLE DE LAS ESTRELLAS
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-3095
Mailing Address - Country:US
Mailing Address - Phone:602-373-6724
Mailing Address - Fax:
Practice Address - Street 1:6320 W UNION HILLS DR
Practice Address - Street 2:SUITE 265
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1096
Practice Address - Country:US
Practice Address - Phone:623-374-2424
Practice Address - Fax:623-374-2619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5513225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ103219Medicare PIN
AZ1417065400Medicare ID - Type UnspecifiedAMY LIHVARCHIK NPI
AZ1417045071Medicare ID - Type UnspecifiedMELISSA BURRILL NPI
AZ1093803652Medicare ID - Type UnspecifiedEDWARD LIHVARCHIK NPI