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

Therapy for Developmental Disabilities

Organization Pediatric Physical Therapist · NPI 1639484314

Therapy for Developmental Disabilities is a Pediatric Physical Therapist in Mesa, Arizona. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
3

Practice location Address checks out

4542 E Inverness Ave Ste 210
Mesa, AZ 85206-4619
Phone: (480) 926-6309
Fax: (480) 926-1365
Show map & directions

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

Specialties & licences

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

Record details

NPI number1639484314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Miller — Chief Of Staff · (480) 295-4924
NPI enumeratedAugust 18, 2010
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address4542 E Inverness Ave, Suite 210, Mesa, AZ 85206-4619

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