Phoenix Mountain Therapy Llc - Medicare Physical Therapist in Scottsdale, AZ

Phoenix Mountain Therapy Llc is a medicare enrolled "Physical Therapist" provider in Scottsdale, Arizona. Their current practice location is 7370 E Gold Dust Ave Rm 212, Scottsdale, Arizona. You can reach out to their office (for appointments etc.) via phone at (480) 863-5444.

Phoenix Mountain Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Phoenix Mountain Therapy Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1053122689.

Contact Information

Phoenix Mountain Therapy Llc
7370 E Gold Dust Ave Rm 212,
Scottsdale, AZ 85258-1025
(480) 863-5444
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePhoenix Mountain Therapy Llc
TypeFacility
SpecialityPhysical Therapist
Location7370 E Gold Dust Ave Rm 212, Scottsdale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053122689
  • Provider Enumeration Date: 01/14/2025
  • Last Update Date: 03/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0648797944
  • Enrollment ID: O20250509001696

Medical Identifiers

Medical identifiers for Phoenix Mountain Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053122689NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
261QR0400XClinic/center - Rehabilitation (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Phoenix Mountain Therapy Llc acts as a billing entity for following providers:
Provider NameCharles David Y Tan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548650823
PECOS PAC ID: 6103144738
Enrollment ID: I20150411000017
Provider NameKatherine O'brien
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1831729714
PECOS PAC ID: 2264869882
Enrollment ID: I20210601001562
Provider NameJasmine Stevenson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1275727091
PECOS PAC ID: 5294139366
Enrollment ID: I20210811002592
Provider NameEmily Mcevers-kunce
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1801529318
PECOS PAC ID: 9537541149
Enrollment ID: I20220728003450
Provider NameErin Elizabeth Boggs
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1548879042
PECOS PAC ID: 9133546369
Enrollment ID: I20250509003131
Provider NameNoah Flores
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679382659
PECOS PAC ID: 5597283614
Enrollment ID: I20250513001551
Provider NameCarley Stigall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225719628
PECOS PAC ID: 5395263412
Enrollment ID: I20250513001622
Provider NameBadieh W Widmer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1114086881
PECOS PAC ID: 3072515949
Enrollment ID: I20250513001757
Provider NameJessica Foster
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639618390
PECOS PAC ID: 8426450354
Enrollment ID: I20250513002847
Provider NameKarina Thomas
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1982347076
PECOS PAC ID: 0547657124
Enrollment ID: I20250514003472
Provider NameYadira Perez
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1447069455
PECOS PAC ID: 6507385408
Enrollment ID: I20250523000733
Provider NameBrennan Bonnett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356967509
PECOS PAC ID: 2961921622
Enrollment ID: I20250527000772
Provider NameLauren Odorisi
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1942891577
PECOS PAC ID: 4587079025
Enrollment ID: I20250527001152
Provider NameJaclyn Untrecht
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1720897721
PECOS PAC ID: 0547779563
Enrollment ID: I20250602002228

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phoenix Mountain Therapy Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phoenix Mountain Therapy Llc
7370 E Gold Dust Ave Rm 212,
Scottsdale, AZ 85258-1025

Ph: () -
Phoenix Mountain Therapy Llc
7370 E Gold Dust Ave Rm 212,
Scottsdale, AZ 85258-1025

Ph: (480) 863-5444

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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