CANYON PHYSICAL THERAPY GLENDALE LLC (NPI# 1710404389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710404389 |
| Entity Type | Organization |
| Organization Name | CANYON PHYSICAL THERAPY GLENDALE LLC |
| Practice Address |
19420 N 59th Ave Ste H830 Glendale AZ 85308-6980 |
| Practice Telephone | (623) 374-2910 |
| Mailing Telephone | 6233742910 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | SCOTT GILBERT (CEO / OWNER) |
| Authorized Official Telephone | 6233742910 |
| Is Organization Subpart | Y |
| Parent Organization Name | CANYON PHYSICAL THERAPY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
19420 N 59TH AVE STE H830 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-6980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978948 | Brayan Berumen | Physical Therapist | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2020-10-08 |
| 1508472382 | Kelly Eileen Bowen | Specialist/Technologist | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2020-09-17 |
| 1023622339 | Lindsey K Tellez | Physical Therapist | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2020-09-03 |
| 1306494901 | Danielle Heslington | Physical Therapist | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2019-08-28 |
| 1174183917 | Ryan A Schuler | Physical Therapist | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2019-06-14 |
| 1902375405 | Foothills Sports Medicine & Physical Therapy - Glendale LLC | Clinic/Center | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2018-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427617109 | Shane Sinfuego Haff | Physical Therapy Assistant | 121 Sinclair Ave Unit 106, Glendale, CA 91206-4019 | 2019-06-06 |
| 1962066118 | Leslie Edar | Physical Therapy Assistant | 222 W Eulalia St Ste 101, Glendale, CA 91204-2850 | 2019-04-23 |
| 1972166312 | Nader Henein | Physical Therapy Assistant | 7103 Cooper Ave, Glendale, NY 11385-7270 | 2019-04-22 |
| 1861983512 | Ana Alejandra Kelly | Physical Therapy Assistant | 5750 N 59th Ave Apt 273, Glendale, AZ 85301-5851 | 2018-05-29 |
| 1821533506 | Lisa Mcvicker | Physical Therapy Assistant | 1745 W Kenneth Rd, Glendale, CA 91201-1451 | 2017-01-04 |
| 1386091262 | Domilou Bong Unido | Physical Therapy Assistant | 1416 E Windsor Rd, Glendale, CA 91205-2755 | 2016-05-19 |
| 1831557156 | Angelo Carlo Gianzon | Physical Therapy Assistant | 1151 Sonora Ave Apt 219, Glendale, CA 91201-3111 | 2016-02-01 |
| 1912364498 | Madonna Dizon | Physical Therapy Assistant | 836 Fischer St Apt B, Glendale, CA 91205-3888 | 2016-01-28 |
| 1720444151 | Charisma Trafalgar Jucaban | Physical Therapy Assistant | 664 W Glenoaks Blvd Apt A, Glendale, CA 91202-3371 | 2016-01-14 |
| 1346606928 | Catherine Topp | Physical Therapy Assistant | 18669 N 61st Ave, Glendale, AZ 85308-7634 | 2016-01-12 |
| Find all providers in GLENDALE | ||||
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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.