1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Nurse Practitioner
  6. NPI Profile

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

Active since July 22, 2016
2919 S ELLSWORTH RD, SUITE 102, MESA, AZ 85212(480) 354-2008 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 Address2919 S ELLSWORTH RD, SUITE 102Mesa, AZ 85212-2164
Mailing Address2919 S Ellsworth Rd, Suite 102Mesa, AZ 85212-2164 · (480) 354-2008
Phone(480) 354-2008
Organization SubpartNo
Authorized OfficialScott TaylorCeo · (480) 907-1322
Enumeration DateJuly 22, 2016
Last NPPES UpdateSeptember 30, 2016
✔ 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
2919 S ELLSWORTH RD, Mesa, AZ 85212
Open in Google Maps ↗

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 20

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

KRISTY K BROWN ST
Speech-Language Pathologist
2919 S ELLSWORTH RD, SUITE 111
MESA, AZ 85212
Maricopa County (480) 358-6767
DEBORAH A MORDHORST PT
Physical Therapist
2919 S ELLSWORTH RD, SUITE 111
MESA, AZ 85212
Maricopa County (480) 358-6767
ROBERT C STIDHAM II
Occupational Therapist
2919 S ELLSWORTH RD, SUITE 111
MESA, AZ 85212
Maricopa County (704) 831-5065
DR. SCOTT ALEXANDER TAYLOR D.C.
Chiropractor
2919 S ELLSWORTH RD, 102
MESA, AZ 85212
Maricopa County (480) 299-5916
CHIKWENDU C NWOSU MD
Internal Medicine
2919 S ELLSWORTH RD, SUITE 139
MESA, AZ 85212
Maricopa County (917) 474-0025
DR. STAN LAVELL COVINGTON DDS
Dentist
2919 S ELLSWORTH RD, SUITE 141
MESA, AZ 85212
Maricopa County (480) 307-8430
GEORGE WANG,MD,LLC
Psychiatry & Neurology (Neurology)
2919 S ELLSWORTH RD, SUITE 135
MESA, AZ 85212
Maricopa County (480) 967-6888
SMITH & ENGEL DENTISTRY
Dentist (General Practice)
2919 S ELLSWORTH RD, SUITE 118
MESA, AZ 85212
Maricopa County (480) 219-1384

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 2919 S Ellsworth Rd Suite 102, Mesa, AZ 85212. 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 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.