Pamela Pino, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30744 Issued in AZ

Practice address

41125 N Daisy Mountain Dr Ste 121
Anthem, AZ 85086-4964

Phone

(623) 551-9706

Fax

(623) 551-9708

NPI assigned

Oct 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, AZ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Sport Rehab Specialists at Anthem LLCGroup PAC ID 8527961978, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic & Sport Rehab Specialists at Anthem, LLC

  • Physical Therapist
  • Anthem, AZ
  • NPI 1821109356
  Medicare reassignment Care Compare group NPD
• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment NPD
• Apexnetwork New Mexico, LLC

  • Physical Therapist
  • Gallup, NM
  • NPI 1871917740
  Medicare reassignment NPD
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1114921871
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1699779223
  NPD (past)

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1609248707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR STE 125",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864964",
            "telephone_number": "623-551-9706",
            "fax_number": "623-551-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR STE 121",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864964",
            "telephone_number": "623-551-9706",
            "fax_number": "623-551-9708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Window Rock Shopping Center, Suite 10",
            "address_2": "AZ State Highway 264 and Route 12",
            "address_purpose": "LOCATION",
            "city": "Window Rock",
            "state": "AZ",
            "postal_code": "86515",
            "country_code": "US",
            "telephone_number": "928-810-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 W Maloney Ave",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873015489",
            "country_code": "US",
            "telephone_number": "505-488-2615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINO",
        "first_name": "PAMELA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "LPT-30744",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4499",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Peterson, LMT, NCTMB
• John Pham, D.O.
• Paul Phan, DDS
• Nathanial David Phillips, DPT
• Sara Pinder, MS CCC-SLP CBIS
• Prescott Health Counseling PLLC
• Prescott Vamc
• John Q Quackenbush, D.C.
• Ray S. Rabadi, RPH
• Stephanie Megan Ramirez, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.