Fiesta Pediatric Therapy in Phoenix - Pediatrics

Fiesta Pediatric Therapy - NPI 1508931569

Fiesta Pediatric Therapy is a Pediatrics in Phoenix, Arizona. Fiesta Pediatric Therapy practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Fiesta Pediatric Therapy is 1508931569. The last update date is 2020-08-22.

Fiesta Pediatric Therapy's current location address is 1641 E Osborn Rd, Phoenix, Arizona. You can contact this provider via phone number 6022654124 and fax number 6022488843. The mailing address for Fiesta Pediatric Therapy is 1641 E Osborn Rd, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fiesta Pediatric Therapy
Address 1641 E Osborn Rd, Phoenix, Arizona
Phone Number 6022654124
Fax Number 6022488843
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Sheely Mary Ann
Telephone Number 6022654124

NPI Number Detail

NPI Number 1508931569
Provider Enumeration Date 2006-11-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1641 E Osborn Rd
City Phoenix
State Arizona (AZ)
Post Code 850167146
Phone Number 6022654124
Fax Number 6022488843

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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FAQs about Fiesta Pediatric Therapy

What is the Fiesta Pediatric Therapy's unique identification number?

The Fiesta Pediatric Therapy has been assigned the NPI (National Provider Identifier) Number 1508931569 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Fiesta Pediatric Therapy is physically located?

The Fiesta Pediatric Therapy is physically situated at the following address: 1641 E Osborn Rd, Phoenix, AZ, 850167146.

What is the area of specialization for Fiesta Pediatric Therapy, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Fiesta Pediatric Therapy is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1508931569 to Fiesta Pediatric Therapy?

The Centers for Medicare & Medicaid Services assigned the 1508931569 to Fiesta Pediatric Therapy on 2006-11-22.

As of what date were the details pertaining to Fiesta Pediatric Therapy last refreshed?

The information related to the Fiesta Pediatric Therapy, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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