Arizona Mobile Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ARIZONA MOBILE THERAPY LLC

Practice address

15239 W Alexandria Way
Surprise, AZ 85379-8104

Phone

(480) 698-6049

Fax

(480) 371-2743

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonia Perez

Title

Owner

Phone

(480) 698-6049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 11

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.

• Shivaun Kathleen Carter

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1225367899

  AZ

  Medicare reassignment Care Compare group NPD
• Ashley Vandermoon Brennan, DPT

  • Physical Therapist
  • Chandler, AZ
  • NPI 1740539287
  Medicare reassignment NPD
• Sharoyn Denise Donaldson, PT, DPT, NCS

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1801592605
  Medicare reassignment NPD
• Kimberly Ann Jacob, P.T.

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1669788139
  Medicare reassignment NPD
• Angela Rae Jowaiszas, P.T.

  • Orthopedic Physical Therapist
  • Mesa, AZ
  • NPI 1487706677
  Medicare reassignment NPD
• Randall C Pulsipher, P.T

  • Physical Therapist
  • Mesa, AZ
  • NPI 1366779910
  Medicare reassignment NPD
• Collette Marie Stockton, OTRL

  • Occupational Therapist
  • Gilbert, AZ
  • NPI 1326678764
  Medicare reassignment NPD
• Julie L Tindall, PT PHYSICAL THERAPIS

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1700930963
  Medicare reassignment NPD
• Phillip Stanley Wolfe, O.T.

  • Pediatric Occupational Therapist
  • Phoenix, AZ
  • NPI 1760610828
  Medicare reassignment NPD
• Dennis D Roth, PT, DPT

  • Physical Therapist
  • Saint Peters, MO
  • NPI 1699888354

  AZ

  Medicare reassignment NPD
• Sheri F. Hentz, OT

  • Occupational Therapist
  • Mesa, AZ
  • NPI 1801815097
  Care Compare group NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1104521616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15239 W ALEXANDRIA WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798104",
            "telephone_number": "480-698-6049",
            "fax_number": "480-371-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15239 W ALEXANDRIA WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798104",
            "telephone_number": "480-698-6049",
            "fax_number": "480-371-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MOBILE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-698-6049"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.