PHYSICAL MEDICINE OF MESA LLC (NPI# 1952917205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952917205 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE OF MESA LLC |
| Practice Address |
3614 E Southern Ave Ste 105 Mesa AZ 85206-2510 |
| Mailing Address |
21001 N Tatum Blvd Ste 1630-606 Phoenix AZ 85050-4242 |
| Practice Telephone | 6023545310 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | THOMAS MOSHIRI (MANAGER) |
| Authorized Official Telephone | 6022376340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
3614 E SOUTHERN AVE STE 105 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517648 | Apr Med Group LLC | Chiropractor | 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 | 2020-11-01 |
| 1760089049 | Landmark Medical LLC | Chiropractor | 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 | 2020-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645625 | Olympus Health Management LLC | General Practice | 3813 E Oasis Cir, Mesa, AZ 85215-9796 | 2020-09-29 |
| 1831757152 | Jamie Todd | General Practice | 1140 N Higley Rd, Mesa, AZ 85205-5386 | 2019-06-01 |
| 1760969190 | Provider Provider PC | General Practice | 841 W 11th St, Mesa, AZ 85201-3109 | 2018-07-28 |
| 1538533799 | Feliz Care Centers Pllc | General Practice | 1345 E Main St Ste 100, Mesa, AZ 85203-8950 | 2015-11-25 |
| 1457755514 | Svelte LLC | General Practice | 6344 E Broadway Rd Ste 101, Mesa, AZ 85206-1634 | 2014-10-20 |
| 1336583186 | Chelsea Alexandra Roberts | General Practice | 4111 E Valley Auto Dr Ste 209, Mesa, AZ 85206-4609 | 2013-04-23 |
| 1194001198 | Keith Krein | General Practice | 3227 N 88th St, Mesa, AZ 85207-9782 | 2011-10-24 |
| 1396934402 | James S Cerneka Do Pllc | General Practice | 500 W 10th Pl Ste 120, Mesa, AZ 85201-3218 | 2007-10-15 |
| 1730390691 | Quirino B Valeros | General Practice | 2104 E Enid Ave, Mesa, AZ 85204-4512 | 2007-05-24 |
| 1265408975 | David Joseph Bickler | General Practice | 6553 E Baywood Ave Suite 103, Mesa, AZ 85206 | 2006-02-23 |
| 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.