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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MESA PHYSICAL MEDICINE PLLC
NPI 1154774305
Nurse Practitioner - Primary Care in Mesa, AZ

Active since July 22, 2016
10207 E HAMPTON AVE STE 105, MESA, AZ 85209(480) 354-2008 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, Sep 30, 2016 (2 updates tracked since 2016).

About Mesa Physical Medicine Pllc NPPES

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

MESA PHYSICAL MEDICINE PLLC (NPI 1154774305) is a healthcare organization registered as a primary care in Mesa, Arizona and active in the NPI registry since July 2016. The organization lists Scott Taylor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154774305
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMESA PHYSICAL MEDICINE PLLC
Location Address10207 E HAMPTON AVE STE 105Mesa, AZ 85209-3336
Mailing Address10207 E Hampton Ave Ste 105Mesa, AZ 85209-3336 · (480) 354-2008
Phone(480) 354-2008
Organization SubpartNo
Authorized OfficialScott TaylorCeo · (480) 907-1322
Enumeration DateJuly 22, 2016
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1154774305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AZ · AP4338
10207 E HAMPTON AVE STE 105, Mesa, AZ 85209
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. QUINN MILLER DC
Chiropractor
10207 E HAMPTON AVE STE 105
MESA, AZ 85209
Maricopa County (480) 354-2008

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 Mesa Physical Medicine PLLC's NPI number?

The NPI number for Mesa Physical Medicine PLLC is 1154774305. It was assigned to this organization in the NPPES registry on July 22, 2016.

Where is Mesa Physical Medicine PLLC located?

Mesa Physical Medicine PLLC is located at 10207 E Hampton Ave Ste 105, Mesa, AZ 85209. The listed phone number is (480) 354-2008.

What is Mesa Physical Medicine PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Mesa Physical Medicine PLLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.