MR. FRED EDWARD TREECE (NPI# 1407848088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407848088 |
Entity Type | Individual |
Full Name | MR. FRED EDWARD TREECE |
Credential | PT MS |
Practice Address |
1345 E Mckellips Rd 101 Mesa AZ 85203-2721 |
Mailing Address |
745 N Gilbert Rd Ste 124 Pmb 367 Gilbert AZ 85234-4616 |
Practice Telephone | 4808270495 |
Practice Fax Number | 4808272354 |
Mailing Telephone | 4808214200 |
Mailing Fax Number | 4808214447 |
Enumeration Date | 2005-08-18 |
Last Update Date | 2019-05-22 |
NPI Deactivation Date | 03/21/2006 |
NPI Reactivation Date | 2006-04-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1600 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1345 E MCKELLIPS RD 101 |
City | MESA |
State | AZ |
Zip Code | 85203-2721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407217409 | Personal Injury Care of Arizona LLC | Physical Medicine & Rehabilitation | 1345 E Mckellips Rd, Suite 103, Mesa, AZ 85203-2721 | 2016-03-18 |
1760753206 | Nicole Fields | Nurse Practitioner | 1345 E Mckellips Rd, Mesa, AZ 85203-2721 | 2012-01-13 |
1801125588 | Lawrence B. Michaelson | Physical Therapist | 1345 E Mckellips Rd, Suite 101, Mesa, AZ 85203-2721 | 2009-12-09 |
1235326620 | Stephanie R Winter | Family Medicine | 1345 E Mckellips Rd, Mesa, AZ 85203-2721 | 2007-09-28 |
1417091158 | Arista Imaging, LLC | Clinic/Center | 1345 E Mckellips Rd, Mesa, AZ 85203-2721 | 2007-02-16 |
1760422448 | Mesa Family Medical Center, PC | Family Medicine | 1345 E Mckellips Rd, Suite 106, Mesa, AZ 85203-2721 | 2006-06-08 |
1740250505 | David I Bruce | Family Medicine | 1345 E Mckellips Rd, Suite 106, Mesa, AZ 85203 | 2006-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
Find all providers in zip 85203 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558880856 | Adrienne Yamamoto | Physical Therapist | 2500 S Power Rd Ste 126, Mesa, AZ 85209-6688 | 2017-09-18 |
1083000129 | Nadine Gibson | Physical Therapist | 6824 E Brown Rd, Suite 102, Mesa, AZ 85207-3705 | 2015-04-15 |
1942559547 | Garret William Bruno | Physical Therapist | 1450 S Dobson Rd Ste A302, Mesa, AZ 85202-4746 | 2012-08-29 |
1407104375 | Andrew C Jarzabek | Physical Therapist | 1959 S Val Vista Dr Ste 106, Mesa, AZ 85204-7357 | 2012-08-26 |
1700166154 | Elis Raquel Conejo | Physical Therapist | 6553 E. Baywood, Suite 205, Mesa, AZ 85206 | 2011-08-17 |
1871774588 | Lianne Ka'uilani Rogers | Physical Therapist | 2217 W Keating Ave, Mesa, AZ 85202-7321 | 2007-11-21 |
1366452856 | R Samuel Anderson | Physical Therapist | 1500 S Dobson Rd Ste 314, Mesa, AZ 85202-4752 | 2006-08-08 |
1578567129 | Marc Wayne Moore | Physical Therapist | 2500 S Power Rd, Ste 123, Mesa, AZ 85209-6686 | 2005-06-10 |
1205320207 | Brian Keith Infiesto | Physical Therapist | 1440 S Country Club Dr, Mesa, AZ 85210-9701 | 2018-06-22 |
1689175747 | Kimberly Hubbard | Physical Therapist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2018-02-23 |
Find all providers in MESA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.