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

Individual provider Physical Therapist · NPI 1710614938

Olivia Rose Demichele, DPT is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2022, 4 years ago. Practices with Impact Physical Therapy - 2 LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1702 S Val Vista Dr Ste 107
Mesa, AZ 85204-7386
Phone: (480) 505-8140
Fax: (480) 706-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-32427 (AZ)

Record details

NPI number1710614938
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 7, 2022
Last updated in NPPESAugust 7, 2022
Certification dateAugust 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Impact Physical Therapy - 2 Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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