Orthopedic & Sports Physical Therapy, PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

778,1328,5237 Issued in AZ

Legal business name

ORTHOPEDIC & SPORTS PHYSICAL THERAPY, PC

Practice address

1500 S Dobson Rd Ste 314
Mesa, AZ 85202-4752

Phone

(480) 833-7879

Fax

(480) 844-8411

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

R Samuel Anderson, PT, DPT, OCSNPI 1366452856

Title

Owner, President

Phone

(480) 833-7879

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• R Samuel Anderson, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Mesa, AZ
  • NPI 1366452856
  Authorized official Same address or phone

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1104836501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD STE 314",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024752",
            "telephone_number": "480-833-7879",
            "fax_number": "480-844-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD STE 314",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024752",
            "telephone_number": "480-833-7879",
            "fax_number": "480-844-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "480-833-7879",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "778,1328,5237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane M Ortega, C.N.M.
• Larry Ortega
• Orestes Roman Ortega, NURSE PRACTITIONER
• Orthocare Home Health LLC
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• Orthopedic Specialists of North America, PLLC (OrthoArizona)
• Orthopedic Specialists of North America, PLLC

• Orthopedic Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.