NPIMap

Organization Active NPI

Esi Therapy, PC

  • Speech-Language Pathologist
  • Queen Creek, AZ
National Provider Identifier
1003984394
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
DDD704011 Issued in AZ
Legal business name
ESI THERAPY, PC
Practice address
30230 N Royal Oak Way
Queen Creek, AZ 85243-4324
Phone
(480) 882-1737
Fax
(480) 882-1915
NPI assigned
Dec 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ethelyn Ruddell, OTRNPI 1982772273
Title
President
Phone
(480) 882-1737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X DDD704011 AZ
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X DDD704011 AZ
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X DDD704011 AZ Primary

Addresses

Primary practice location

30230 N Royal Oak Way
Queen Creek, AZ 85243-4324

Mailing address

30230 N Royal Oak Way
Queen Creek, AZ 85243-4324
Phone (480) 882-1737

Other identifiers 1

IdentifierTypeStateIssuer
794398MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003984394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30230 N ROYAL OAK WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852434324",
            "telephone_number": "480-882-1737",
            "fax_number": "480-882-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 N ROYAL OAK WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852434324",
            "telephone_number": "480-882-1737",
            "fax_number": "480-882-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESI THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RUDDELL",
        "authorized_official_first_name": "ETHELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-882-1737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "DDD704011",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "DDD704011",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "DDD704011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "794398",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.