Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Omar Maldonado

Individual provider Physical Therapist · NPI 1619784089

Omar Maldonado is registered under Physical Therapist in Private Practice in Surprise, Arizona. Qualified in 2024, 2 years ago. Practices with Foothills Sports Medicine and Rehabilitation LLC, a 173-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
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Practice location Address checks out

15543 N Reems Rd Ste 133
Surprise, AZ 85374-9582
Phone: (623) 975-5374
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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 033940 (AZ)

Record details

NPI number1619784089
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Foothills Sports Medicine And Rehabilitation Llc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients20
Services billed 127 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Foothills Sports Medicine and Rehabilitation LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 173 clinicians in the practice; 11 are shown here.

Other providers in Surprise