FIESTA PEDIATRIC THERAPY
NPI 1508931569
Speech-Language Pathologist in Mesa, AZ

Active since November 22, 2006
930 W SOUTHERN AVE, SUITE 10, MESA, AZ 85210(480) 835-0857(480) 898-0138 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Fiesta Pediatric Therapy NPPES

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

FIESTA PEDIATRIC THERAPY (NPI 1508931569) is a healthcare organization registered as a speech-language pathologist in Mesa, Arizona and active in the NPI registry since November 2006. The organization lists Mary Ann Sheely, Owner, as its authorized official.

NPPES Registry Identity

NPI1508931569
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameFIESTA PEDIATRIC THERAPY
Location Address930 W SOUTHERN AVE, SUITE 10Mesa, AZ 85210-4938
Mailing Address1641 E Osborn Rd, Suite 1Phoenix, AZ 85016-7146 · (602) 265-4124 · Fax (602) 248-8843
Fax(480) 898-0138
Organization SubpartNo
Authorized OfficialMary Ann SheelyOwner · (602) 265-4124
Enumeration DateNovember 22, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1508931569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
930 W SOUTHERN AVE, Mesa, AZ 85210

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 11

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

Occupational Therapist (Pediatrics)
930 W SOUTHERN AVE, STE 10
MESA, AZ 85210
Occupational Therapist (Pediatrics)
930 W SOUTHERN AVE, STE 101
MESA, AZ 85210
Speech-Language Pathologist
930 W SOUTHERN AVE
MESA, AZ 85210
Occupational Therapist (Pediatrics)
930 W SOUTHERN AVE, STE #10
MESA, AZ 85210
Speech-Language Pathologist
930 W SOUTHERN AVE
MESA, AZ 85210
Occupational Therapist (Pediatrics)
930 W SOUTHERN AVE, STE 10
MESA, AZ 85210
Speech-Language Pathologist
930 W SOUTHERN AVE, STE #10
MESA, AZ 85210
Speech-Language Pathologist
930 W SOUTHERN AVE, STE #10
MESA, AZ 85210

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 Fiesta Pediatric Therapy's NPI number?

The NPI number for Fiesta Pediatric Therapy is 1508931569. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Fiesta Pediatric Therapy located?

Fiesta Pediatric Therapy is located at 930 W Southern Ave Suite 10, Mesa, AZ 85210. The listed phone number is (480) 835-0857.

What is Fiesta Pediatric Therapy's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Fiesta Pediatric Therapy was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.