| Mdm Physical Therapy | |
|
7205 E Southern Ave Ste 111, Mesa, AZ 85209-2791 | |
| (480) 832-9308 | |
| (480) 807-1782 |
| Full Name | Mdm Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7205 E Southern Ave Ste 111, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730251133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2346 (Arizona) | Primary |
| Provider Name | Mark D Mooney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306918701 PECOS PAC ID: 2264424076 Enrollment ID: I20040401000489 |
| Provider Name | Troy Robert Babel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407933773 PECOS PAC ID: 0042278004 Enrollment ID: I20041222000597 |
| Provider Name | Christen K Gorman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598043879 PECOS PAC ID: 9739352576 Enrollment ID: I20111024000242 |
| Provider Name | Jessica M Ryder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649317470 PECOS PAC ID: 9830352012 Enrollment ID: I20120525000497 |
| Provider Name | Scott Moynahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437182045 PECOS PAC ID: 8820238082 Enrollment ID: I20130711000235 |
| Provider Name | Ashley M Deramos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255817177 PECOS PAC ID: 6406104306 Enrollment ID: I20180809001137 |
| Provider Name | Beth Ann Heise |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215064712 PECOS PAC ID: 7214273358 Enrollment ID: I20190110003402 |
| Provider Name | Marissa L Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093360737 PECOS PAC ID: 9335470186 Enrollment ID: I20191009003017 |
| Mailing Address | Practice Location Address |
|---|---|
| Mdm Physical Therapy 1101 E Princeton Ave, Gilbert, AZ 85234-3599 Ph: (480) 854-9833 | Mdm Physical Therapy 7205 E Southern Ave Ste 111, Mesa, AZ 85209-2791 Ph: (480) 832-9308 |
Justin Dunaway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6632 E Baseline Rd, Suite 102, Mesa, AZ 85206 Phone: 480-222-0655 Fax: 480-222-1457 | |
Deborah A Mordhorst, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212 Phone: 480-358-6767 Fax: 480-358-6885 | |
Anda Michelle Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5358 E Baseline Road, Mesa, AZ 85206 Phone: 480-699-9224 | |
Joshua N Lacanlale, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3035 S Ellsworth Rd, Bldg 4, #128, Mesa, AZ 85212 Phone: 480-357-6500 Fax: 480-357-6515 | |
Christopher Samuel Anderson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 S Dobson Rd Ste 314, Mesa, AZ 85202 Phone: 480-833-7879 | |
Savannah Torrez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2524 E Golden St, Mesa, AZ 85213 Phone: 575-499-4249 | |
Bloom Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3035 S Ellsworth Rd Ste 128, Mesa, AZ 85212 Phone: 480-357-6500 |