MAXIMUM POTENTIAL SPORT & FITNESS TRAINING INC. (NPI# 1558429860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558429860 |
| Entity Type | Organization |
| Organization Name | MAXIMUM POTENTIAL SPORT & FITNESS TRAINING INC. |
| Other Organization Name | FYZICAL THERAPY & BALANCE CENTERS |
| Practice Address |
20950 N Tatum Blvd Ste 390 Phoenix AZ 85050-4258 |
| Mailing Address |
Po Box 30216 Phoenix AZ 85046-0216 |
| Practice Telephone | 6024048012 |
| Practice Fax Number | 6024047195 |
| Mailing Telephone | 6024048012 |
| Mailing Fax Number | 6024047195 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | MS. SANDRA JEAN SALAZAR (OWNER) |
| Authorized Official Telephone | 6024048012 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
4376 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Athletica Center for Ecxellence | Doing Business As Name - Organization |
| Fyzical Therapy & Balance Centers | Doing Business As Name - Organization |
| Street Address |
20950 N TATUM BLVD STE 390 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-4258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841209301 | Sandra Jean Salazar | Physical Therapist | 20950 N Tatum Blvd Ste 390, Phoenix, AZ 85050-4258 | 2006-08-05 |
| 1740890516 | Nicholas Daniel Newquist | Physical Therapist | 20950 N Tatum Blvd Ste 390, Phoenix, AZ 85050-4258 | 2020-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079523 | Trailhead Health & Rehab LLC | Clinic/Center | 1838 W Parkside Ln Ste 110, Phoenix, AZ 85027-1370 | 2020-09-24 |
| 1649811498 | Urgentmed House Call LLC | Clinic/Center | 2224 W Clarendon Ave, Phoenix, AZ 85015-5435 | 2019-10-03 |
| 1750931267 | Life Clinic of Az PC | Clinic/Center | 2580 E Camelback Rd, Phoenix, AZ 85016-4204 | 2019-09-17 |
| 1831650431 | Best Performance & Therapy | Clinic/Center | 11042 N 24th Ave, Phoenix, AZ 85029-4777 | 2019-03-26 |
| 1356828511 | Foothills Therapy Partners, LLC | Clinic/Center | 4455 E Camelback Rd Bldg A, Phoenix, AZ 85018-2843 | 2018-07-20 |
| 1053801993 | Foothills Sports Medicine & Physical Therapy - Tatum Shea LLC | Clinic/Center | 11250 N Tatum Blvd, Phoenix, AZ 85028-2306 | 2018-05-16 |
| 1134632342 | Kernan Manual Physical Therapy, LLC | Clinic/Center | 3819 E Indian School Rd, Phoenix, AZ 85018-5234 | 2017-11-09 |
| 1164934667 | Katelyn A Crist | Clinic/Center | 2650 E Mcdowell Rd Ste 200, Phoenix, AZ 85008-3658 | 2017-10-25 |
| 1104278928 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 717 W Dunlap Ave Ste 100, Phoenix, AZ 85021-3521 | 2016-07-05 |
| 1093193716 | Advanced Medical Therapy LLC | Clinic/Center | 15640 N 7th St Ste 6, Phoenix, AZ 85022-3538 | 2015-05-14 |
| Find all providers in PHOENIX | ||||
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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.