Provider Demographics
NPI:1437883550
Name:ZENYTH PHYSICAL THERAPY AND PERFORMANCE REHABILITATION LLC
Entity type:Organization
Organization Name:ZENYTH PHYSICAL THERAPY AND PERFORMANCE REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:BIRCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:480-241-6571
Mailing Address - Street 1:7929 E 32ND ST STE 7
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-8406
Mailing Address - Country:US
Mailing Address - Phone:480-241-6571
Mailing Address - Fax:
Practice Address - Street 1:7929 E 32ND ST STE 7
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-8406
Practice Address - Country:US
Practice Address - Phone:480-241-6571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty