NPIMap

Organization Active NPI

Banner Physical Therapy

  • Orthopedic Physical Therapist
  • Mesa, AZ
National Provider Identifier
1033014741
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
BANNER PHYSICAL THERAPY
Practice address
1309 N Greenfield Rd Ste 102
Mesa, AZ 85205-4009
Phone
(480) 210-1706
Fax
(480) 681-7143
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Michaela Marie Weeks, PT, DPT
Title
Physical Therapist
Phone
(207) 939-6196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

1309 N Greenfield Rd Ste 102
Mesa, AZ 85205-4009

Mailing address

7129 Boykin Spaniel Way
Wilmington, NC 28411-0400
Phone (207) 939-6196

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1033014741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7129 BOYKIN SPANIEL WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284110400",
            "telephone_number": "207-939-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N GREENFIELD RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054009",
            "telephone_number": "480-210-1706",
            "fax_number": "480-681-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "207-939-6196",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.