NPIMap

Organization Active NPI

Phoenix Mountain Therapy LLC

Doing business as Phoenix Mountain Therapy

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1053122689
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHOENIX MOUNTAIN THERAPY LLC
Doing business as
Phoenix Mountain Therapy
Practice address
7370 E Gold Dust Ave RM 212
Scottsdale, AZ 85258-1025
Phone
(602) 816-3924
Fax
(480) 701-9773
NPI assigned
Jan 14, 2025
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Soon Burnam
Title
Secretary
Phone
(949) 540-1249

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

7370 E Gold Dust Ave RM 212
Scottsdale, AZ 85258-1025

Mailing address

7370 E Gold Dust Ave RM 212
Scottsdale, AZ 85258-1025
Phone (602) 816-3924

Other names 1

  • Phoenix Mountain Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250509001696 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648797944 Receives reassigned benefits from 29 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

7370 E Gold Dust Ave
Rm 212
Scottsdale, AZ 85258
Phone (602) 816-3924

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1053122689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7370 E GOLD DUST AVE RM 212",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581025",
            "telephone_number": "602-816-3924",
            "fax_number": "480-701-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 E GOLD DUST AVE RM 212",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581025",
            "telephone_number": "602-816-3924",
            "fax_number": "480-701-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MOUNTAIN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Mountain Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix Mountain Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.