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

Mr. Haddar E Ichilov, PT

Individual provider Physical Therapist · NPI 1609922558

Mr. Haddar E Ichilov, PT is a Physical Therapist in Private Practice in Scottsdale, Arizona. Graduated from New York University School of Medicine in 1992, 34 years ago. Practices with Petkov Bodywork Therapy LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
34
Trained at
New York University School of Medicine
Licensed in
AZ
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11001 N 60th St
Scottsdale, AZ 85254-5401
Phone: (602) 502-4714
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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 3038 (AZ)

Record details

NPI number1609922558
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Petkov Bodywork Therapy Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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