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

Trident Lake Health Inc

Organization Physical Therapist · NPI 1912708173

Trident Lake Health Inc is a Physical Therapist in Gilbert, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4140 E Bethena St
Gilbert, AZ 85295-0321
Phone: (562) 221-3960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1912708173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olayinka Adeoya — Ceo · (562) 221-3960
NPI enumeratedMarch 24, 2025
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address4140 E Bethena St, Gilbert, AZ 85295-0321

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