Desert Spine and Sports Physicians PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DESERT SPINE AND SPORTS PHYSICIANS PLLC

Practice address

6634 E Baseline Rd Ste 1
Mesa, AZ 85206-4429

Phone

(602) 943-4509

Fax

(602) 957-1570

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Susan C. Sorosky

Title

Owner

Phone

(602) 840-0681

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Desert Spine and Sports Physicians PLLC

  • Physical Medicine & Rehabilitation Physician
  • Peoria, AZ
  • NPI 1457105348

  6608927504

  Same PAC ID
• Desert Spine and Sports Physicians PLLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1619721503

  6608927504

  Same PAC ID
• Desert Spine and Sports Physicians PLLC

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1649411778

  6608927504

  Same PAC ID

Tax ID family

Desert Spine and Sports Physicians PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Desert Spine and Sports Physicians PLLC

  • Physical Medicine & Rehabilitation Physician
  • Peoria, AZ
  • NPI 1457105348
  NPD tax ID
• Desert Spine and Sports Physicians PLLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1619721503
  NPD tax ID

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Desert Spine and Sports Physicians PLLC

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1649411778

  Member Of

  NPD member
• Jonathan S. Hott, M.D., P.L.C.

  • Neurological Surgery Physician
  • Scottsdale, AZ
  • NPI 1063451482

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1467206359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681",
            "fax_number": "602-957-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6634 E BASELINE RD STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064429",
            "telephone_number": "602-943-4509",
            "fax_number": "602-957-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SPINE AND SPORTS PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "SOROSKY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-840-0681"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Sky Endocrinology Associates PLC
• Desert Sounds Audiology & Hearing Aid Services, LLC
• Desert Sounds Audiology and Hearing
• Desert Sounds Occupational Therapy
• Desert Spine and Scoliosis Center
• Desert Star Healthcare, LLC
• Desert State Dental Anesthesia, LLC
• Desert Sun Integrated Medicine
• Desert Urology Consultants PC
• Desert Valley Eye Care

• Physical Medicine & Rehabilitation Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.