GOLDEN YEARS PHYSICAL THERAPY LLC
NPI 1306610100
Physical Therapist - Geriatrics in Mesa, AZ

Q: What is Golden Years Physical Therapy LLC's NPI number?

The NPI number for Golden Years Physical Therapy LLC is 1306610100. It was assigned to this organization in the NPPES registry on November 13, 2023.

Q: What is Golden Years Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Active since November 13, 2023

11453 E REUBEN AVE, MESA, AZ 85212(425) 750-9526 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Golden Years Physical Therapy Llc NPPES

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

GOLDEN YEARS PHYSICAL THERAPY LLC (NPI 1306610100) is a healthcare organization registered as a geriatrics in Mesa, Arizona and active in the NPI registry since November 2023. The organization lists Jennifer Lee Derham, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1306610100

Entity TypeOrganization

Primary Taxonomy2251G0304X

Legal Business NameGOLDEN YEARS PHYSICAL THERAPY LLC

Location Address11453 E REUBEN AVEMesa, AZ 85212-4113

Mailing Address11453 E Reuben AveMesa, AZ 85212-4113 · (425) 750-9526

Phone(425) 750-9526

Organization SubpartNo

Authorized OfficialJennifer Lee DerhamPhysical Therapist · (425) 750-9526

Enumeration DateNovember 13, 2023

NPPES CertifiedNovember 12, 2023

✔ NPI 1306610100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

11453 E REUBEN AVE, Mesa, AZ 85212

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Golden Years Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Golden Years Physical Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Derham, DPT

Physical Therapist in Private Practice

NPI 1720124357

7728 204TH ST. NE #A
Arlington, WA 98223

(360) 403-8250

✔ Accepts Medicare1,161 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Golden Years Physical Therapy LLC's NPI number?

The NPI number for Golden Years Physical Therapy LLC is 1306610100. It was assigned to this organization in the NPPES registry on November 13, 2023.

Where is Golden Years Physical Therapy LLC located?

Golden Years Physical Therapy LLC is located at 11453 E Reuben Ave, Mesa, AZ 85212. The listed phone number is (425) 750-9526.

What is Golden Years Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Golden Years Physical Therapy LLC enrolled in Medicare?

Yes. Golden Years Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Golden Years Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Golden Years Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Golden Years Physical Therapy LLC was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.