Desert Sunshine Mobile Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DESERT SUNSHINE MOBILE PHYSICAL THERAPY LLC

Practice address

6332 W Irma LN
Glendale, AZ 85308-6609

Phone

(630) 309-0279

NPI assigned

Jun 28, 2024

Last updated

Jun 28, 2024By 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

Amanda Berry, PTNPI 1366534877

Title

Owner

Phone

(630) 309-0279

Specialties & licenses 1

Addresses

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.

• Amanda J Berry, PT

  • Physical Therapist
  • Glendale, AZ
  • NPI 1366534877
  NPD Authorized official

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1164267399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 W IRMA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086609",
            "telephone_number": "630-309-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 W IRMA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086609",
            "telephone_number": "630-309-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SUNSHINE MOBILE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-309-0279",
        "authorized_official_credential": "PT"
    },
    "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 Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.