Arizona Services for Developmental Therapy Inc

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

0503 Issued in AZ

Legal business name

ARIZONA SERVICES FOR DEVELOPMENTAL THERAPY INC

Practice address

2101 E Page Ave
Gilbert, AZ 85234-6212

Phone

(480) 926-1399

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Roxanne Small, PTNPI 1386806958

Title

Owner Physical Therapist

Phone

(480) 926-1399

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanne Small, PT

  • Pediatric Physical Therapist
  • Gilbert, AZ
  • NPI 1386806958

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992825830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E PAGE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852346212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E PAGE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852346212",
            "telephone_number": "480-926-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SERVICES FOR DEVELOPMENTAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "480-926-1399",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "0503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Gilbert, AZ
• Pediatric Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.