Active NPI
Rolaun Hosea Dunham, PT, DPT
- Physical Therapist
- Goodyear, AZ
National Provider Identifier
1306645528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33090
- Practice address
- 573 N 167TH Dr
Goodyear, AZ 85338-6224 - Phone
- (209) 996-6085
- NPI assigned
- Mar 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 303325 | CA | |
| Physical Therapist | 225100000X | 33090 | AZ | Primary |
Addresses
Primary practice location
573 N 167TH Dr
Goodyear, AZ 85338-6224
Mailing address
573 N 167TH Dr
Goodyear, AZ 85338-6224
Phone (209) 996-6085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33090 | AZ | MD | Physical Therapist |
| 303325 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1306645528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 N 167TH DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853386224",
"telephone_number": "209-996-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 N 167TH DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853386224",
"telephone_number": "209-996-6085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "ROLAUN",
"middle_name": "HOSEA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303325",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "33090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.