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

Orthopedic & Sports Physical Therapy, PC

Organization Orthopedic Physical Therapist · NPI 1104836501

Orthopedic & Sports Physical Therapy, PC is an Orthopedic Physical Therapist in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 S Dobson Rd Ste 314
Mesa, AZ 85202-4752
Phone: (480) 833-7879
Fax: (480) 844-8411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 778,1328,5237 (AZ)

Record details

NPI number1104836501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official R Anderson — Owner, President · (480) 833-7879
NPI enumeratedAugust 8, 2006
Last updated in NPPESAugust 20, 2010
Mailing address1500 S Dobson Rd Ste 314, Mesa, AZ 85202-4752

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