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PHYSICAL MEDICINE OF MESA LLC
NPI 1952917205
General Practice in Mesa, AZ

Active since September 22, 2020
3614 E SOUTHERN AVE STE 105, MESA, AZ 85206(602) 354-5310 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2022, Sep 22, 2020 (2 updates tracked since 2020).

About Physical Medicine Of Mesa Llc NPPES

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

PHYSICAL MEDICINE OF MESA LLC (NPI 1952917205) is a healthcare organization registered as a general practice in Mesa, Arizona and active in the NPI registry since September 2020. The organization lists Thomas Moshiri, Manager, as its authorized official.

NPPES Registry Identity

NPI1952917205
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePHYSICAL MEDICINE OF MESA LLC
Location Address3614 E SOUTHERN AVE STE 105Mesa, AZ 85206-2510
Mailing Address21001 N Tatum Blvd Ste 1630-606Phoenix, AZ 85050-4242
Phone(602) 354-5310
Organization SubpartNo
Authorized OfficialThomas MoshiriManager · (602) 441-3573
Enumeration DateSeptember 22, 2020
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1952917205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3614 E SOUTHERN AVE STE 105, Mesa, AZ 85206
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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 4

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

APR MED GROUP LLC
Pain Medicine (Interventional Pain Medicine)
3614 E SOUTHERN AVE STE 105
MESA, AZ 85206
Maricopa County (602) 354-5310
UNION PAIN GROUP LLC
Pain Medicine (Interventional Pain Medicine)
3614 E SOUTHERN AVE STE 105
MESA, AZ 85206
Maricopa County (602) 354-5310
APR DME LLC
Durable Medical Equipment & Medical Supplies
3614 E SOUTHERN AVE STE 105
MESA, AZ 85206
Maricopa County (602) 354-5310
LANDMARK MEDICAL LLC
Physical Medicine & Rehabilitation
3614 E SOUTHERN AVE STE 105
MESA, AZ 85206
Maricopa County (480) 838-6696

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 Physical Medicine Of Mesa LLC's NPI number?

The NPI number for Physical Medicine Of Mesa LLC is 1952917205. It was assigned to this organization in the NPPES registry on September 22, 2020.

Where is Physical Medicine Of Mesa LLC located?

Physical Medicine Of Mesa LLC is located at 3614 E Southern Ave Ste 105, Mesa, AZ 85206. The listed phone number is (602) 354-5310.

What is Physical Medicine Of Mesa LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Physical Medicine Of Mesa LLC was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.