Provider Demographics
NPI:1871555698
Name:APEX PHYSSICAL THERAPY
Entity type:Organization
Organization Name:APEX PHYSSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LIHVARCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:623-374-2424
Mailing Address - Street 1:6320 W UNION HILLS DR
Mailing Address - Street 2:SUITE 265
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1096
Mailing Address - Country:US
Mailing Address - Phone:623-374-2424
Mailing Address - Fax:623-374-2619
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:2006-04-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5210261QP2000X
AZ5510261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ103222Medicare PIN