NPIMap

Organization Active NPI

Recovia Physical Therapy, LLC

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1447015755
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RECOVIA PHYSICAL THERAPY, LLC
Practice address
6553 E Baywood Ave Ste 209
Mesa, AZ 85206-1754
Phone
(480) 712-4600
Fax
(602) 428-7045
NPI assigned
Feb 15, 2024
Organization subpart
Yes
Parent organization
RECOVIA PHYSICAL THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Mrs. Melissa Richards
Title
HR Manager
Phone
(480) 712-4600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X

Addresses

Primary practice location

6553 E Baywood Ave Ste 209
Mesa, AZ 85206-1754

Mailing address

PO Box 20216
Phoenix, AZ 85036-0216
Phone (480) 712-4600

Other names 1

  • Recovia PT LLC - Mesa Other name

National Provider Directory

National Provider Directory
Tax ID family
Recovia Physical Therapy LLC10 organizations share this tax ID, including this one
Part of
Recovia Physical Therapy LLC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1447015755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850360216",
            "telephone_number": "480-712-4600",
            "fax_number": "602-428-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 209",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061754",
            "telephone_number": "480-712-4600",
            "fax_number": "602-428-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVIA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECOVIA PHYSICAL THERAPY, LLC",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "480-712-4600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovia PT LLC - Mesa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.