Organization · Type 2 NPI

BHSM Rehabilitation, LLC

Physical Therapy Clinic/Center · Flagstaff, AZ

NPI number 1356932602 Active

Practice location

5200 E Cortland Blvd Ste C1
Flagstaff, AZ 86004-9341

Call (717) 972-1100 Map

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center Primary	261QP2000X	None listed
Rehabilitation Clinic/Center	261QR0400X	None listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

Another provider at this address

Kelly K. Fosberg, PT, DPT, PhD, OCSPhysical Therapist Flagstaff, AZ NPI 1932135282

Other physical therapy clinic/center providers in Flagstaff

See all in Flagstaff →

NPI record

NPI: 1356932602
Entity type: Organization (Type 2)
Issued: Jan 29, 2021
Last updated: Aug 20, 2026
Status: Active

Other names

<unavail>
Banner Physical Therapy · doing business as
Banner Physical Therapy · doing business as

Authorized official

John F Duggan
Vice President
(717) 972-1100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356932602

BHSM Rehabilitation, LLC's National Provider Identifier is 1356932602, issued on Jan 29, 2021. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Flagstaff, AZ. The record was last updated on Aug 20, 2026.