Professional Medical Transport, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

CON # 71 Issued in AZ

Legal business name

PROFESSIONAL MEDICAL TRANSPORT, INC

Practice address

617 W Main St
Mesa, AZ 85201-7204

Phone

(480) 446-2513

NPI assigned

Aug 28, 2006

Last updated

Sep 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Joseph Dorn

Title

Chief Administrative Officer

Phone

(833) 703-2294

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• R M Arizona Holdings Inc

  dba Life Line Ambulance

  • Land Ambulance
  • Payson, AZ
  • NPI 1912279472

  Member Of

  NPD member
• Rural Metro Corporation

  dba American Medical Response; AMR

  • Land Ambulance
  • Tucson, AZ
  • NPI 1962693697

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1720196843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847102",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017204",
            "telephone_number": "480-446-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL TRANSPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "CON # 71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200780",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prodigee Hospitalists P.C.
• Prodigee Inpatient Physicians Group, P.L.L.C.
• Prodigy Healthcare, LLC
• Produce Pharmacy LLC (Esatto Red Mountain)
• Professional Counseling Associates, LLC
• Professional Surgical Assistants of Arizona, LLC (Professional Surgical Services)
• Progressive Homecare Services LLC
• Progressive Medical Associates PLLC
• Progressive Medical Intensivists
• Project Breakthrough Wellness Center LLC

• Land Ambulance in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Land Ambulance in Arizona

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