NPIMap

Organization Active NPI

Donato Fitness and Wellness LLC

Doing business as Fyzical Therapy and Balance Centers, Superstition Springs

  • Physical Therapy Clinic/Center
  • Mesa, AZ
National Provider Identifier
1629771829
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DONATO FITNESS AND WELLNESS LLC
Doing business as
Fyzical Therapy and Balance Centers, Superstition Springs
Practice address
7115 E Baseline Rd Ste 105
Mesa, AZ 85209-4039
Phone
(602) 853-4404
Fax
(602) 853-4776
NPI assigned
Mar 24, 2023
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Jared Elliot James Sidhu
Title
Ceo
Phone
(480) 604-4555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

7115 E Baseline Rd Ste 105
Mesa, AZ 85209-4039

Mailing address

7115 E Baseline Rd Ste 105
Mesa, AZ 85209-4039
Phone (602) 853-4404

Other names 2

  • Fyzical Therapy and Balance Centers, Superstition Springs Doing business as
  • Donato Fitness & Wellness Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230724001640 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800256728 Receives reassigned benefits from 5 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

7115 E Baseline Rd
Ste 105
Mesa, AZ 85209
Phone (602) 853-4404

7115 E Baseline Rd
Ste 105106
Mesa, AZ 85209

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1629771829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 E BASELINE RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094039",
            "telephone_number": "602-853-4404",
            "fax_number": "602-853-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 E BASELINE RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094039",
            "telephone_number": "602-853-4404",
            "fax_number": "602-853-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONATO FITNESS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "ELLIOT JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-604-4555"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Centers, Superstition Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Donato Fitness & Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.