Therapy for Developmental Disabilities

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

THERAPY FOR DEVELOPMENTAL DISABILITIES

Practice address

4542 E Inverness Ave
Suite 210
Mesa, AZ 85206-4619

Phone

(480) 926-6309

Fax

(480) 926-1365

NPI assigned

Aug 18, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Ty Miller

Title

Chief of Staff

Phone

(480) 295-4924

Specialties & licenses 3

Addresses

Tax ID family

Therapy for Developmental Disabilities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Therapy for Developmental Disabilities, LLC

  • Pediatric Physical Therapist
  • Mesa, AZ
  • NPI 1538211420
  NPD tax ID

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1639484314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 E INVERNESS AVE",
            "address_2": "SUITE 210",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064619",
            "telephone_number": "480-295-4924",
            "fax_number": "480-926-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 E INVERNESS AVE",
            "address_2": "SUITE 210",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064619",
            "telephone_number": "480-926-6309",
            "fax_number": "480-926-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY FOR DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "480-295-4924",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wild Within Counseling and Holistic Therapy PLLC
• The Women's Birth and Wellness Center
• Jismi Theeyattuveli, NP
• James M Theiss, PMHNP-BC
• Jagdishkumar Thekdi
• Therapy for Developmental Disabilities, LLC
• Therapy LLC
• Therapy One, PLLC
• Kenneth Theriot, M.D.
• Therma-Scan Reference Laboratory, LLC

• Pediatric Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatric Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.