| Olivia Rose Demichele, DPT | |
|
1702 S Val Vista Dr Ste 107, Mesa, AZ 85204-7386 | |
| (480) 505-8140 | |
| (480) 706-7997 |
| Full Name | Olivia Rose Demichele |
|---|---|
| Gender | Female |
| Speciality | Physical Therapy |
| Experience | 2 Years |
| Location | 1702 S Val Vista Dr Ste 107, Mesa, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710614938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | LPT-32427 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Foothills Sports Medicine And Rehabilitation Llc | 2668457979 | 162 |
| Impact Physical Therapy - 2 Llc | 8123411360 | 7 |
| Camelback Sports Therapy Llc | 8426953852 | 9 |
| Provider Name | Camelback Sports Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255426318 PECOS PAC ID: 8426953852 Enrollment ID: O20031126000716 |
| Provider Name | Foothills Sports Medicine & Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558318170 PECOS PAC ID: 2668457979 Enrollment ID: O20040621001886 |
| Provider Name | Foothills Sports Medicine & Rehabilitation- East Valley Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881908192 PECOS PAC ID: 4183810518 Enrollment ID: O20101128000004 |
| Provider Name | Impact Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215319413 PECOS PAC ID: 4789978735 Enrollment ID: O20161014000019 |
| Provider Name | Impact Physical Therapy - 2 Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245895739 PECOS PAC ID: 8123411360 Enrollment ID: O20220210000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Rose Demichele, DPT 15410 S Mountain Pkwy Ste 112, Phoenix, AZ 85044-6691 Ph: (480) 689-5534 | Olivia Rose Demichele, DPT 1702 S Val Vista Dr Ste 107, Mesa, AZ 85204-7386 Ph: (480) 505-8140 |
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 |