360 Physical Therapy LLC
NPI 1689115164ActiveOrganization· Physical Therapist· Queen Creek, AZ
Physical Therapist in Queen Creek, Arizona, registered in NPPES in March 2017. The authorized official on file is Cheryl Brunin, Revenue Process Manager.
Overview
| NPI | 1689115164 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2017 |
| Last updated in NPPES | Mar 16, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Queen Creek
- 1407345523
- 1104486455
- 1386105856
- 1528536554
- 1841401379
- 1538718291
- 1861116543
- 1124080072
- 1649675877
- 1912213414
- 1689636516
- 1538962923