Individual ProviderGregory D LawPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048-7693(480) 763-5808(602) 406-3181PECOS EnrollmentBased on the most recent information from CMS, provider Gregory D Law 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 ID1720484413Provider TypeIndividualFull NameLaw, Gregory DCredentialPTGenderMaleSole ProprietorNoEnumeration Date11/7/2014Last Updated9/11/2019Contact InformationPractice LocationPractice Address4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048-7693Phone(480) 763-5808Fax(480) 759-0647Mailing LocationMailing Address2910 N 3rd Ave, Phoenix, AZ 85013-4434Phone(602) 406-3181Fax(602) 264-2417Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseLPT-012095ArizonaProvider IdentifiersIDDescriptionIssuerID167126DescriptionMedicaidIssuerUnlistedArizona