Provider Demographics
NPI:1689474413
Name:NEW SOLUTIONS PHYSICAL MEDICINE
Entity type:Organization
Organization Name:NEW SOLUTIONS PHYSICAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:TIMKO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-284-3632
Mailing Address - Street 1:14155 N 83RD AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5640
Mailing Address - Country:US
Mailing Address - Phone:623-878-0475
Mailing Address - Fax:623-878-0640
Practice Address - Street 1:14155 N 83RD AVE STE 102
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5640
Practice Address - Country:US
Practice Address - Phone:623-878-0475
Practice Address - Fax:623-878-0640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty