Addicott, Robert Corey

Addicott, Robert Corey is an individual health care provider with primary practice located at 20325 N 51St Ave Ste 150 , Glendale AZ 85308-4622. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Addicott, Robert Corey can be contacted via phone (602) 385-2115.

Contact Information

Primary practice address
20325 N 51St Ave Ste 150 Glendale AZ 85308-4622
Phone: (602) 385-2115
Fax: (480) 418-3323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5198 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5198 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 5198 Arizona

Profile Details

NPI number 1881697597
LBN Legal business name Addicott, Robert Corey
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Aug 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881697597 NPPES
Arizona MEDICAID 113252
Arizona Other 69799

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