NPIMap

Organization Active NPI

Sonoran Sun Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Surprise, AZ
National Provider Identifier
1407384993
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SONORAN SUN PEDIATRIC THERAPY, LLC
Practice address
15653 N Reems Rd Ste 110
Surprise, AZ 85374-9541
Phone
(623) 341-0664
Fax
(623) 321-1981
NPI assigned
May 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Lisa Raby
Title
Owner
Phone
(623) 900-7824

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Environmental Modification Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XE0001X
Feeding, Eating & Swallowing Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XF0002X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

15653 N Reems Rd Ste 110
Surprise, AZ 85374-9541

Mailing address

15653 N Reems Rd Ste 110
Surprise, AZ 85374-9541
Phone (623) 900-7824

Other names 1

  • Sonoran Sun Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

16772 W Bell Rd
Ste 110192
Surprise, AZ 85374

15653 N Reems Rd
Ste 110
Surprise, AZ 85374
Phone (623) 214-3454

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1407384993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15653 N REEMS RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749541",
            "telephone_number": "623-900-7824",
            "fax_number": "623-321-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15653 N REEMS RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749541",
            "telephone_number": "623-341-0664",
            "fax_number": "623-321-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN SUN PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "RABY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-900-7824"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoran Sun Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.