Provider Demographics
NPI:1023233640
Name:SCORE PHYSICAL THERAPY LTD PC
Entity type:Organization
Organization Name:SCORE PHYSICAL THERAPY LTD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUIDO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:520-722-5477
Mailing Address - Street 1:5989 E GRANT RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2336
Mailing Address - Country:US
Mailing Address - Phone:520-722-5477
Mailing Address - Fax:520-886-5358
Practice Address - Street 1:5989 E GRANT RD
Practice Address - Street 2:SUITE 102
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2336
Practice Address - Country:US
Practice Address - Phone:520-722-5477
Practice Address - Fax:520-886-5358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ506225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0291430OtherBCBS
AZ2Z0724OtherHEALTHNET
AZZ0000BGMZCMedicare PIN
AZ2Z0724OtherHEALTHNET