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

Black Ridge Physical Therapy, PLC

Organization Physical Therapy Clinic/Center · NPI 1649698945

Black Ridge Physical Therapy, PLC is a Physical Therapy Clinic/Center in Saint Johns, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

80 S 13th W
Saint Johns, AZ 85936
Phone: (928) 337-3020
Fax: (928) 337-3979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 8544 (AZ)

Record details

NPI number1649698945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Wiltbank — Owner · (928) 337-3020
NPI enumeratedApril 3, 2014
Last updated in NPPESJune 16, 2014
Mailing addressPo Box 824, Saint Johns, AZ 85936-0824