1902856172 NPI number — METRO PHYSICAL THERAPY OF SURPRISE

Table of content: DR. DAVID SCOTT LEVIN PSY.D. (NPI 1154541522)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902856172 NPI number — METRO PHYSICAL THERAPY OF SURPRISE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
METRO PHYSICAL THERAPY OF SURPRISE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902856172
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7200 W BELL RD
Provider Second Line Business Mailing Address:
SUITE F-101
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85308-8529
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-776-9111
Provider Business Mailing Address Fax Number:
623-776-9115

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15288 W BROOKSIDE LN
Provider Second Line Business Practice Location Address:
SUITE 131
Provider Business Practice Location Address City Name:
SURPRISE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85374-3990
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-537-9882
Provider Business Practice Location Address Fax Number:
623-537-9885
Provider Enumeration Date:
05/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GIBBS
Authorized Official First Name:
TONYA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER/OWNER
Authorized Official Telephone Number:
623-209-5066

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com