NPIMap

Organization Active NPI

Desert View Physical Therapy

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1093750762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DESERT VIEW PHYSICAL THERAPY
Practice address
6641 E Baywood Ave
Suite A4
Mesa, AZ 85206-1723
Phone
(480) 369-9020
Fax
(480) 218-9182
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Randy Mikkel Bratrud, PT
Title
Owner
Phone
(480) 396-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6641 E Baywood Ave
Suite A4
Mesa, AZ 85206-1723

Mailing address

6641 E Baywood Ave
Suite A4
Mesa, AZ 85206-1723
Phone (480) 369-9020

National Provider Directory

National Provider Directory
Tax ID family
Desert View Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093750762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 E BAYWOOD AVE",
            "address_2": "SUITE A4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061723",
            "telephone_number": "480-369-9020",
            "fax_number": "480-218-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 E BAYWOOD AVE",
            "address_2": "SUITE A4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061723",
            "telephone_number": "480-369-9020",
            "fax_number": "480-218-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VIEW PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRATRUD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MIKKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-396-9020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "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 Aug 22, 2020; 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.