Desert Dolphin Aquatic Therapy & Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DESERT DOLPHIN AQUATIC THERAPY & REHAB

Practice address

1903 S Cole Dr
Gilbert, AZ 85295

Phone

(480) 760-3458

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Bonnie Santos, PHYSICAL THERAPISTNPI 1396091484

Title

Owner/Physical Therapist

Phone

(480) 760-3458

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Bonnie Santos, PT

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1396091484
  NPD (past) Authorized official

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1609237635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 S COLE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-760-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S COLE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-760-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT DOLPHIN AQUATIC THERAPY & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "480-760-3458",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "831928",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Derrick, FNP-BC
• Jessica L Dery, PMHNP
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• Desert Dermatology & Skin Cancer Specialists, P.C.
• Desert Eyesthetics PC
• Desert Heart Hospice LLC
• Desert Horizon Medical Group
• Desert Interventional Spine Consultants
• Desert Medical Group

• Physical Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.