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

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1730779406

Mountainside Fitness Acquisitions, LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
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

2501 W Happy Valley Rd Ste 30
Phoenix, AZ 85085-3712
Phone: (602) 601-4747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X

Record details

NPI number1730779406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eileen Ahern — Credentialist · (800) 954-1800
NPI enumeratedJanuary 26, 2021
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 11, 2021
Mailing address7135 E Camelback Rd, Scottsdale, AZ 85251-1262

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