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

Alexa Treguboff

Individual provider Physical Therapist · NPI 1396551933

Alexa Treguboff is a Physical Therapist in Private Practice in Glendale, Arizona. Qualified in 2024, 2 years ago. Practices with 360 Physical Therapy LLC, a 85-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
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Practice location Address checks out

6630 W Cactus Rd
Glendale, AZ 85304-1600
Phone: (623) 469-5811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 033935 (AZ)

Record details

NPI number1396551933
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing address10591 W Alex Ave, Peoria, AZ 85382-0507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice 360 Physical Therapy Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale