Please select whether you are an existing PREFERRED member or applying for a new membership.
Select an option below and mail/fax completed forms to the address/number listed below.
- Add a Location to your PREFERRED membership. *Additional fee applies for any new location.
- Add a New Therapist to your PREFERRED membership.*Credentialing fee applies for any new therapist.
- Remove a Therapist from your PREFERRED membership.
- Therapist Update Form
23460 North 19th Ave.
Suite 250
Phoenix, AZ 85027
TEL: 623-869-9101
TOLL-FREE: 1-800-664-5240
FAX: 623-869-9102
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
To become a member of the PREFERRED Therapy Providers, Inc. network, please complete the Initial Application form and mail/fax it to the address/number listed below.
PREFERRED Therapy Providers, Inc.23460 North 19th Ave.
Suite 250
Phoenix, AZ 85027
TEL: 623-869-9101
TOLL-FREE: 1-800-664-5240
FAX: 623-869-9102
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
