FIESTA PEDIATRIC THERAPY (NPI# 1255711131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255711131 |
| Entity Type | Organization |
| Organization Name | FIESTA PEDIATRIC THERAPY |
| Practice Address |
2302 N 15th Ave Phoenix AZ 85007-1201 |
| Practice Telephone | 6023964374 |
| Mailing Telephone | 6023964374 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | MISS VANESSA GAISER (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 6023964374 |
| Authorized Official Credential | CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | TSLP9051 | AZ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508931569 | Fiesta Pediatric Therapy | Physical Therapist | 930 W Southern Ave, Suite 10, Mesa, AZ 85210-4938 | 2006-11-22 |
| Street Address |
2302 N 15TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85007-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536250 | Anna Cardosa Gray | Physical Therapist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2005-08-25 |
| 1780291567 | Michelle Christine Mueller | Physical Therapist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2020-09-25 |
| 1427666528 | Justine Collado Gonzales | Occupational Therapist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2020-07-15 |
| 1043853906 | Arizona Orthopedic Physical Therapy, Pllc | Physical Medicine & Rehabilitation | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2019-10-23 |
| 1225686165 | Chantal Scott | Physical Therapist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2019-09-03 |
| 1619525631 | Lisa Jennifer De Los Santos | Speech-Language Pathologist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2019-09-03 |
| 1245888254 | Lena Sarsour | Speech-Language Pathologist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2019-09-03 |
| 1609429398 | Tori Louise Bacher | Speech-Language Pathologist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2019-07-22 |
| 1124508395 | Lauryn Bates | Speech-Language Pathologist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2018-08-17 |
| 1164939435 | Pauline Munoz | Speech-Language Pathologist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2018-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
| 1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
| 1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
| 1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
| 1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
| 1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
| 1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
| 1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
| Find all providers in zip 85007 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1134594153 | Evangelina Gonzalez Speech LLC | Early Intervention Provider Agency | 6622 W. Taylor St., Phoenix, AZ 85043-1504 | 2015-12-02 |
| 1700138369 | Westside Speech & Language | Early Intervention Provider Agency | 4307 N 87th Dr, Phoenix, AZ 85037-1701 | 2012-10-07 |
| 1477711299 | Kratu Inc | Early Intervention Provider Agency | 16036 N 11th Ave, Unit 1025, Phoenix, AZ 85023 | 2008-05-29 |
| 1316975196 | Southwest Human Development | Early Intervention Provider Agency | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2006-06-29 |
| 1265941298 | Southwest Human Development | Early Intervention Provider Agency | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2017-09-21 |
| 1558763532 | Jamae' Van Eeuwen | Early Intervention Provider Agency | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050-3389 | 2014-09-21 |
| 1295153286 | Southwest Autism Research and Resource Center | Early Intervention Provider Agency | 300 N 18th St, Phoenix, AZ 85006-4103 | 2014-04-07 |
| 1760815989 | Desert Valley Pediatric Therapy | Early Intervention Provider Agency | 16815 S Desert Foothills Pkwy, Phoenix, AZ 85048-8401 | 2013-08-12 |
| 1801115969 | The Foundation for Blind Children | Early Intervention Provider Agency | 1235 E Harmont Dr, Phoenix, AZ 85020-3864 | 2010-05-27 |
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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.