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

Foothills Sports Medicine & Physical Therapy - North Mesa LLC

Organization Physical Therapy Clinic/Center · NPI 1790318137

Foothills Sports Medicine & Physical Therapy - North Mesa LLC is a Physical Therapy Clinic/Center in Mesa, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2835 E Brown Rd Ste 101
Mesa, AZ 85213-5470
Phone: (480) 807-6644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1790318137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Basten — Owner · (480) 689-5515
NPI enumeratedFebruary 13, 2020
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020
Mailing address15410 S Mountain Pkwy Ste 112, Phoenix, AZ 85044-6691

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