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ORTHOPEDIC & SPORTS PHYSICAL THERAPY, PC
NPI 1104836501
Physical Therapist - Orthopedic in Mesa, AZ

Active since August 08, 2006
1500 S DOBSON RD STE 314, MESA, AZ 85202(480) 833-7879(480) 844-8411 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Orthopedic & Sports Physical Therapy, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHOPEDIC & SPORTS PHYSICAL THERAPY, PC (NPI 1104836501) is a healthcare organization registered as an orthopedic in Mesa, Arizona and active in the NPI registry since August 2006. The organization lists R Samuel Anderson, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1104836501
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameORTHOPEDIC & SPORTS PHYSICAL THERAPY, PC
Location Address1500 S DOBSON RD STE 314Mesa, AZ 85202-4752
Mailing Address1500 S Dobson Rd Ste 314Mesa, AZ 85202-4752 · (480) 833-7879 · Fax (480) 844-8411
Phone(480) 833-7879
Fax(480) 844-8411
Organization SubpartNo
Authorized OfficialR Samuel AndersonOwner, President · (480) 833-7879
Enumeration DateAugust 8, 2006
Last NPPES UpdateAugust 20, 2010
✔ NPI 1104836501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in AZ · 778,1328,5237
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

1500 S DOBSON RD STE 314, Mesa, AZ 85202
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Other Identifiers 1

Medicare ID-Type Unspecified29804AZ · Medi Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. R SAMUEL ANDERSON PT, DPT, OCS
Physical Therapist (Orthopedic)
1500 S DOBSON RD STE 314
MESA, AZ 85202
Maricopa County (480) 833-7879
CARROT LASIK LLC
Ophthalmology
1500 S DOBSON RD STE 314
MESA, AZ 85202
Maricopa County (480) 561-6000
MR. JOHN JAMES BODINE PT, OCS
Physical Therapist (Orthopedic)
1500 S DOBSON RD STE 314
MESA, AZ 85202
Maricopa County (480) 833-7879
WILLIAM BRIAN KENTOPP PT,DPT, OCS
Physical Therapist (Orthopedic)
1500 S DOBSON RD STE 314
MESA, AZ 85202
Maricopa County (480) 833-7879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orthopedic & Sports Physical Therapy, PC's NPI number?

The NPI number for Orthopedic & Sports Physical Therapy, PC is 1104836501. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Orthopedic & Sports Physical Therapy, PC located?

Orthopedic & Sports Physical Therapy, PC is located at 1500 S Dobson Rd Ste 314, Mesa, AZ 85202. The listed phone number is (480) 833-7879.

What is Orthopedic & Sports Physical Therapy, PC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Orthopedic & Sports Physical Therapy, PC was last updated on August 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.