Athlete Restoration Lab Arizona LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATHLETE RESTORATION LAB ARIZONA LLC

Practice address

6321 S Ellsworth Rd
Fieldhouse a
Mesa, AZ 85212-2445

Phone

(877) 735-2201

NPI assigned

Oct 26, 2026

Last updated

Oct 26, 2026By 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

Jared Gillespie, PT, DPT, SCS

Title

Owner

Phone

(913) 620-0040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1720985310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 S ELLSWORTH RD",
            "address_2": "FIELDHOUSE A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122445",
            "telephone_number": "877-735-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 S ELLSWORTH RD",
            "address_2": "FIELDHOUSE A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122445",
            "telephone_number": "877-735-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETE RESTORATION LAB ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-620-0040",
        "authorized_official_credential": "PT, DPT, SCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.