Youngtown Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

648 Issued in AZ

Legal business name

YOUNGTOWN PHYSICAL THERAPY

Practice address

12415 N 103Rd Ave
Sun City, AZ 85351-3509

Phone

(623) 933-6238

Fax

(623) 556-2022

NPI assigned

Oct 19, 2009

Last updated

Oct 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dawn Mortellaro, P.T.NPI 1396736294

Title

Physical Therapist

Phone

(623) 933-6238

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawn Zuleme Mortellaro, PT

  • Physical Therapist
  • Sun City, AZ
  • NPI 1396736294
  NPD (past) Authorized official

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1568798049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 N 103RD AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513509",
            "telephone_number": "623-933-6238",
            "fax_number": "623-556-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 N 103RD AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513509",
            "telephone_number": "623-933-6238",
            "fax_number": "623-556-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGTOWN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "MORTELLARO",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "623-933-6238",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Yates, OD
• Stephanie Yee
• Charan Teja Reddy Yerasi, MD
• Daniel Yim, D.D.S.
• Megan Marie Youngstead, FNP-C
• Nasif Yousif, MD
• Youthful Living LLC
• Kimberly N/a Yung, FNP-C
• Ragul Yuvaraj
• Bilaal Zahoui

• Physical Therapy Clinic/Center in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.