Fiesta Pediatric Therapy

LBN: Fiesta Pediatric Therapy
Fiesta Pediatric Therapy is an health care organization with primary practice located at 930 W Southern Ave Suite 10, Mesa AZ 85210-4938. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty. Fiesta Pediatric Therapy can be contacted via phone (480) 835-0857, or through Sheely, Mary Ann via phone (602) 265-4124.

Contact Information

Primary practice address
930 W Southern Ave Suite 10 Mesa AZ 85210-4938
Phone: (480) 835-0857
Fax: (480) 898-0138
Website:
Map and Directions
Authorized official contact:
Name: Sheely, Mary Ann
Phone: (602) 265-4124

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1508931569
LBN Legal business name Fiesta Pediatric Therapy
DBA Doing business as
Authorized official Sheely, Mary Ann
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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