Landmark Physical Therapy, PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

LANDMARK PHYSICAL THERAPY, PLLC

Practice address

4530 E Shea Blvd Ste 105
Phoenix, AZ 85028-6082

Phone

(480) 661-1124

Fax

(480) 661-1125

NPI assigned

Jul 9, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Disalvo

Title

Owner

Phone

(480) 661-1124

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1528442472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9364 E RAINTREE DR STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602200",
            "telephone_number": "480-661-1124",
            "fax_number": "480-661-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286082",
            "telephone_number": "480-661-1124",
            "fax_number": "480-661-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "DISALVO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-661-1124"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Landin, M.D.
• Maria D Landin, LMSW
• Cindy Landis
• Emily Landis
• Landmark Medical LLC
• Mattea Landon, RD
• Steven Landon, PHARMD
• George W Landrum, MD
• Tracy Anne Landrus, LPC
• Joelle Landry, COTA

• Orthopedic Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.