STRATTON RODEO SPORTS MEDICINE (NPI# 1205370913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205370913 |
| Entity Type | Organization |
| Organization Name | STRATTON RODEO SPORTS MEDICINE |
| Other Organization Name | STRATTON SPORTS MEDICINE |
| Practice Address |
415 S 31st St Mesa AZ 85204-3103 |
| Practice Telephone | 6022845530 |
| Mailing Telephone | 6022845530 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |
| Authorized Official Name | GLEN MICHAEL STRATTON (OWNER) |
| Authorized Official Telephone | 6022845530 |
| Authorized Official Credential | DSC, PT, ATC, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Stratton Sports Medicine | Doing Business As Name - Organization |
| Street Address |
415 S 31ST ST |
| City | MESA |
| State | AZ |
| Zip Code | 85204-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205398195 | Helping Hands Pediatric Services LLC | Clinic/Center | 7553 E Plata Ave, Mesa, AZ 85212-9729 | 2019-04-01 |
| 1154806065 | 360 Physical Therapy LLC | Clinic/Center | 10861 E Baseline Rd Ste A-105, Mesa, AZ 85209-7921 | 2018-09-26 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1053802199 | Foothills Sports Medicine & Physical Therapy - Red Mountain LLC | Clinic/Center | 1066 N Power Rd Ste 104-105, Mesa, AZ 85205-5709 | 2018-05-24 |
| 1538543277 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 7931 E Pecos Rd, Suite 104, Mesa, AZ 85212-6501 | 2015-07-13 |
| 1649608829 | Physiotherapy Associates Inc | Clinic/Center | 7001 E Williams Field Rd, Mesa, AZ 85212-6032 | 2013-10-24 |
| 1114232337 | Phusion Rehab | Clinic/Center | 2036 N Gilbert Rd, Suite 2-151, Mesa, AZ 85203-2139 | 2010-08-12 |
| 1609065192 | Massif Holding Company LLC | Clinic/Center | 5050a E University Dr, Ste 114, Mesa, AZ 85205-7208 | 2007-10-19 |
| 1699977678 | Lawrence A Bates, Pt | Clinic/Center | 2057 S Alma School Rd Ste 1, Mesa, AZ 85210-4005 | 2007-06-02 |
| 1891814513 | Tobler Physical Therapy PC | Clinic/Center | 2835 E Brown Rd Ste 101, Mesa, AZ 85213-5470 | 2007-03-28 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.