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

Mesa Physical Medicine PLLC

Organization Primary Care Nurse Practitioner · NPI 1154774305

Mesa Physical Medicine PLLC is a Primary Care Nurse Practitioner in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2919 S Ellsworth Rd Ste 102
Mesa, AZ 85212-2164
Phone: (480) 354-2008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP4338 (AZ)

Record details

NPI number1154774305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Taylor — Ceo · (480) 907-1322
NPI enumeratedJuly 22, 2016
Last updated in NPPESSeptember 30, 2016
Mailing address2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164

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