Alicia Marie Shoup (NPI# 1760865125, PAC ID# 4587925581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1760865125 |
| PAC ID by PECOS | 4587925581 |
| Professional Enrollment ID | I20180308001974 |
| Full Name | Alicia Marie Shoup |
| Organization Legal Name | 360 PHYSICAL THERAPY LLC |
| Address |
21576 S Ellsworth Loop Rd Suite 108 Queen Creek AZ 85142-7685 |
| Phone Number | 4808211997 |
| Gender | F |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1355237645 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1076 W Chandler Blvd, Suite 103, Chandler, AZ 85224-5223 | 4808211997 | 360 PHYSICAL THERAPY LLC |
| 21576 S Ellsworth Loop Rd, Suite 108, Queen Creek, AZ 85142-7685 | 4808211997 | 360 PHYSICAL THERAPY LLC |
| Organization Legal Name | 360 PHYSICAL THERAPY LLC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul John Pages | Physical Therapy | 360 Physical Therapy LLC | 10861 E Baseline Rd, Suite A105, Mesa, AZ 85209-7798 |
| Paul J Cords | Physical Therapy | 360 Physical Therapy LLC | 1952 E University Dr, Tempe, AZ 85281-4603 |
| Dane G Frandsen | Physical Therapy | 360 Physical Therapy LLC | 25229 S Sunlakes Blvd, 119 360 Physical Therapy LLC, Sun Lakes, AZ 85248-6400 |
| Mark Beaty | Physical Therapy | 360 Physical Therapy LLC | 1805 N Scottsdale Rd, Suite 2, Tempe, AZ 85281-1556 |
| Vanessa N Ward | Physical Therapy | 360 Physical Therapy LLC | 1076 W Chandler Blvd, Suite 103, Chandler, AZ 85224-5223 |
| Allison L Tansley | Physical Therapy | 360 Physical Therapy LLC | 4210 E Baseline Rd, Suite 106, Mesa, AZ 85206-4418 |
| Douglas R Mitchell | Physical Therapy | 360 Physical Therapy LLC | 12545 N Saguaro Blvd, Fountain Hills, AZ 85268-3857 |
| Megan T Onofray | Physical Therapy | 360 Physical Therapy LLC | 4022 E Greenway Rd, Suite 1, Phoenix, AZ 85032-4798 |
| Kimberly E Morin | Physical Therapy | 360 Physical Therapy LLC | 21083 N John Wayne Pkwy, Suite C104, Maricopa, AZ 85139-2961 |
| Megan Jean Ehrlich | Physical Therapy | 360 Physical Therapy LLC | 4210 E Baseline Rd, Suite 106, Mesa, AZ 85206-4418 |
| Street Address |
21576 S ELLSWORTH LOOP RD SUITE 108 |
| City | QUEEN CREEK |
| State | AZ |
| Zip | 85142-7685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Marie Boudreau | Physical Therapy | 360 Physical Therapy LLC | 21576 S Ellsworth Loop Rd, Suite 108, Queen Creek, AZ 85142-7685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Heywood | Physical Therapy | 18540 E San Tan Blvd, Suite 101, Queen Creek, AZ 85142-2203 | |
| Sahan Joseph Emmanuel | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Richard J Dinsdale | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Tracy L Stevenson | Physician Assistant | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Linda L Lau | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Brandon Lee Becken | Optometry | Becken Vision Solutions, Pllc | 21055 E Rittenhouse Rd, Queen Creek, AZ 85142-4477 |
| Kevin J Russell | Optometry | Becken Vision Solutions, Pllc | 21055 E Rittenhouse Rd, Queen Creek, AZ 85142-4477 |
| Monica Viteri-giordano | Internal Medicine | Bhsm Rehabilitation, LLC | 20851 E Rittenhouse Rd, Suite E103, Queen Creek, AZ 85142-4493 |
| John C Wheeler Ii | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 20851 E Rittenhouse Rd, Suite E103, Queen Creek, AZ 85142-4493 |
| Brett M Baker | Chiropractic | Arizona's Premier Chiropractic and Rehab Pllc | 20851 E Rittenhouse Rd, Queen Creek, AZ 85142-4493 |
| Find all physicians in zip 85142 | |||
| City | QUEEN CREEK |
| Zip Code | 85142 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | QUEEN CREEK + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Alicia Marie Shoup.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.