Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Canyon Physical Therapy, PLLC

Organization Physical Therapy Clinic/Center · NPI 1134679814

Black Canyon Physical Therapy, PLLC is a Physical Therapy Clinic/Center in Black Canyon City, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

34301 S Old Black Canyon Hwy Ste 7
Black Canyon City, AZ 85324-9728
Phone: (623) 363-8691
Fax: (928) 212-8727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 3297 (AZ)

Record details

NPI number1134679814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregg Potter — Member · (623) 363-8691
NPI enumeratedOctober 6, 2016
Last updated in NPPESFebruary 5, 2017
Mailing addressPo Box 1515, Black Canyon City, AZ 85324-1515

Other providers in Black Canyon City