Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fiesta Pediatric Therapy

Organization Early Intervention Provider Agency · NPI 1255711131

Fiesta Pediatric Therapy is an Early Intervention Provider Agency in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015

Practice location Address checks out

2302 N 15th Ave
Phoenix, AZ 85007-1201
Phone: (602) 396-4374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence TSLP9051 (AZ)

Record details

NPI number1255711131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanessa Gaiser — Speech Language Pathologist · (602) 396-4374
NPI enumeratedJune 4, 2015
Last updated in NPPESJune 4, 2015
Mailing address2302 N 15th Ave, Phoenix, AZ 85007-1201

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