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

Fiesta Pediatric Therapy

Organization Pediatric Physical Therapist · NPI 1508931569

Fiesta Pediatric Therapy is a Pediatric Physical Therapist in Mesa, Arizona. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

930 W Southern Ave Ste 10
Mesa, AZ 85210-4938
Phone: (480) 835-0857
Fax: (480) 898-0138
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1508931569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ann Sheely — Owner · (602) 265-4124
NPI enumeratedNovember 22, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1641 E Osborn Rd, Suite 1, Phoenix, AZ 85016-7146

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