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BANNER PHYSICAL THERAPY
NPI 1043719669
Durable Medical Equipment & Medical Supplies in Phoenix, AZ

Active since February 09, 2018CLIA 03D2183406 · Waiver
755 WEST MCDOWELL ROAD, PHOENIX, AZ 85006(844) 242-4664 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banner Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER PHYSICAL THERAPY (NPI 1043719669) is a healthcare organization registered as a durable medical equipment & medical supplies in Phoenix, Arizona and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Michael Tarvin, Vice President, as its authorized official.

NPPES Registry Identity

NPI1043719669
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBHSM REHABILITATION, LLC
Location Address755 WEST MCDOWELL ROADPhoenix, AZ 85006-2506
Mailing Address4714 Gettysburg RdMechanicsburg, PA 17055-4325
Phone(844) 242-4664
Organization SubpartYesParent: Select Medical
Authorized OfficialMichael TarvinVice President · (717) 972-1100
Enumeration DateFebruary 9, 2018
Last NPPES UpdateFebruary 7, 2019
✔ NPI 1043719669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
755 WEST MCDOWELL ROAD, Phoenix, AZ 85006
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Other Names 1

Doing Business AsBanner Physical Therapy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2183406

Bhsm Rehabilitation, LLC · Phoenix, AZ
Active · expires May 4, 2028
CLIA Number03D2183406
Laboratory TypeHospital
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorJustin E. Statt
Laboratory Phone(480) 581-3900
Laboratory LocationBhsm Rehabilitation, LLC775 E Willetta St, Phoenix, AZ 85006
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bhsm Rehabilitation, LLC's NPI number?

The NPI number for Bhsm Rehabilitation, LLC is 1043719669. It was assigned to this organization in the NPPES registry on February 9, 2018. The provider is doing business as Banner Physical Therapy.

Where is Bhsm Rehabilitation, LLC located?

Bhsm Rehabilitation, LLC is located at 755 West Mcdowell Road, Phoenix, AZ 85006. The listed phone number is (844) 242-4664.

What is Bhsm Rehabilitation, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Bhsm Rehabilitation, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2183406) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bhsm Rehabilitation, LLC was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.