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

Olivia Ibach, PTA

Individual provider Physical Therapy Assistant · NPI 1003655812

Olivia Ibach, PTA is a Physical Therapy Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

22507 N 31st Ave Unit 13
Phoenix, AZ 85027-1693
Phone: (602) 670-0713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-010895 (AZ)

Record details

NPI number1003655812
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 21, 2024
Last updated in NPPESJune 30, 2024
Certification dateJune 30, 2024
Mailing address22507 N 31st Ave Unit 13, Phoenix, AZ 85027-1693

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