ADVANCED MEDICAL THERAPY LLC
NPI 1093193716
Clinic/Center - Physical Therapy in Phoenix, AZ

Active since May 14, 2015
15640 N 7TH ST STE 6, PHOENIX, AZ 85022(602) 439-3800 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Physical Therapy

About ADVANCED MEDICAL THERAPY LLC

This page provides the complete NPI Profile along with additional information for Advanced Medical Therapy Llc, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1093193716 assigned on May 2015. The practitioner's primary taxonomy code is 261QP2000X with license number 11525 (AZ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Haddar Ichilov P.t. (Administrator)

NPI
1093193716 Verify this NPI
Provider Name
ADVANCED MEDICAL THERAPY LLC
Entity Type
Organization
Location Address
15640 N 7TH ST STE 6 PHOENIX, AZ 85022
Location Phone
(602) 439-3800
Mailing Address
16075 W LINCOLN ST GOODYEAR, AZ 85338
Mailing Phone
(218) 966-0700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2015
Last Update Date
05-14-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
11525
License State
AZ
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HADDAR ICHILOV P.T.

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(602) 439-3800

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093193716, enumerated as an "organization" on May 14, 2015.

The provider is located at 15640 N 7TH ST STE 6 PHOENIX, AZ 85022 and the phone number is (602) 439-3800.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.