Joe D Petty III

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-10388 Issued in AZ

Practice address

15454 N Frank Lloyd Blvd
A-2 Suite 19
Scottsdale, AZ 85260

Phone

(480) 216-7569

NPI assigned

Jan 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1629830468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W CAMPBELL AVE APT 2084",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15454 N FRANK LLOYD BLVD",
            "address_2": "A-2 SUITE 19",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-216-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "JOE",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-10388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Petrovic
• Lorene Marie Petta, PSY.D.
• Adrienne B Pettit, D.O.
• Carolyn K Pettit, MD
• Heidi Petts, RN
• Revi D Pexa, PA-C
• Alissia Marguerite Pfeiffer, NMD
• Nicholaus C Pfeiffer, MD
• Fariba Khatabi Pfitzner, M.D
• Michael K. Pfleger, M.D.

• Massage Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.