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

Mrs. Marissa Lynn Desjardins, PT, DPT

Individual provider Physical Therapist · NPI 1083112106

Mrs. Marissa Lynn Desjardins, PT, DPT is a Physical Therapist in Private Practice in Peoria, Arizona. Qualified in 2004, 22 years ago. Practices with Modern Sports Medicine LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

8240 W Cactus Rd Oakeson Physical Therapy
Peoria, AZ 85381
Phone: (623) 878-9696
Fax: (623) 776-0668
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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 6532 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 6532 (AZ)

Record details

NPI number1083112106
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 23, 2018
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Modern Sports Medicine Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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