Organization Active NPI

Desert View Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
National Provider Identifier
1649485269
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DESERT VIEW PHYSICAL THERAPY
Practice address
6641 E Baywood Ave
Suite a 4
Mesa, AZ 85206-1723
Phone
(480) 396-9020
Fax
(480) 218-9182
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Randy Mikkel Bratrud, P.T.
Title
Physical Therapist
Phone
(480) 396-9020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

6641 E Baywood Ave
Suite a 4
Mesa, AZ 85206-1723

Mailing address

6641 E Baywood Ave
Suite a 4
Mesa, AZ 85206-1723
Phone (480) 396-9020

National Provider Directory

National Provider Directory
Tax ID family
Desert View Physical Therapy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649485269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 E BAYWOOD AVE",
            "address_2": "SUITE A 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061723",
            "telephone_number": "480-396-9020",
            "fax_number": "480-218-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 E BAYWOOD AVE",
            "address_2": "SUITE A 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061723",
            "telephone_number": "480-396-9020",
            "fax_number": "480-218-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VIEW PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRATRUD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MIKKEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "480-396-9020",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 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.