Individual ProviderBrian BartowPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address16611 S 40th St, Ste. 130, Phoenix, AZ 85048-0562(480) 706-1199(480) 551-4961PECOS EnrollmentBased on the most recent information from CMS, provider Brian Bartow does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1295134914Provider TypeIndividualFull NameBartow, BrianCredentialPT,DPTGenderMaleSole ProprietorNoEnumeration Date8/19/2014Last Updated8/19/2014Contact InformationPractice LocationPractice Address16611 S 40th St, Ste. 130, Phoenix, AZ 85048-0562Phone(480) 706-1199Fax(480) 706-3999Mailing LocationMailing Address9097 E Desert Cove Ave, Suite 110, Scottsdale, AZ 85260-6279Phone(480) 551-4961Fax(480) 860-0165Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11080Arizona