MRS. MARISSA LYNN DESJARDINS (NPI# 1083112106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083112106 |
Entity Type | Individual |
Full Name | MRS. MARISSA LYNN DESJARDINS |
Credential | PT, DPT |
Practice Address |
8240 W. Cactus Rd. Oakeson Physical Therapy Peoria AZ 85381 |
Practice Telephone | 6238789696 |
Practice Fax Number | 6237760668 |
Mailing Telephone | 6238789696 |
Mailing Fax Number | 6237760668 |
Enumeration Date | 2018-01-23 |
Last Update Date | 2020-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 6532 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
6532 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 388526 | 05 |
Street Address |
8240 W. CACTUS RD. OAKESON PHYSICAL THERAPY |
City | PEORIA |
State | AZ |
Zip Code | 85381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
1831512250 | Tigist Tiku | Pharmacist | 7421 W Thunderbird Rd, Peoria, AZ 85381 | 2014-01-22 |
Find all providers in zip 85381 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245749399 | Paladino Physical Therapy Pllc | Physical Therapist | 9049 W Lake Pleasant Pkwy, Peoria, AZ 85382-8361 | 2017-09-20 |
1396199477 | Optimaliving Therapy LLC | Physical Therapist | 8953 W Custer Ln, Peoria, AZ 85381-3516 | 2016-04-14 |
1275605727 | Brian Paul Doorley | Physical Therapist | 16140 N Arrowhead Fountain Center Drive, Suite 105, Peoria, AR 85382 | 2006-11-13 |
1386684058 | Troy David Huseby | Physical Therapist | 9745 W Happy Valley Rd, Peoria, AZ 85383 | 2006-06-08 |
1851374557 | Frank K Arnold | Physical Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2005-11-28 |
1285113282 | Cole Uebelhor | Physical Therapist | 719 N William Kumpf Blvd, Peoria, IL 61605-2530 | 2018-08-09 |
1750585048 | Vicki Lucas | Physical Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2007-06-12 |
1699832246 | Melissa Jo Hourihan | Physical Therapist | 7616 W Thunderbird Rd, Ste. 104, Peoria, AZ 85381-6081 | 2007-01-02 |
1841362308 | Janene Kathryn Alcantar | Physical Therapist | 16140 N Arrowhead Fountain Center Drive, Peoria, AZ 85382 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164505 | Imove Health LLC | Physical Therapist | 1054 S Fargo St, Chandler, AZ 85286-1078 | 2020-11-05 |
1457984841 | Caleb Lynch | Physical Therapist | 1055 N La Canada Dr Ste 123, Green Valley, AZ 85614-3700 | 2020-02-13 |
1790315992 | Kaylea Davis | Physical Therapist | 1675 E Melrose St, Gilbert, AZ 85297-1001 | 2020-01-16 |
1124667860 | Stephanie Laura Mundt | Physical Therapist | 10665 E Le Marche Dr, Scottsdale, AZ 85255-1925 | 2019-12-28 |
1932755808 | Nathanial David Phillips | Physical Therapist | 41125 N Daisy Mountain Dr Ste 121, Anthem, AZ 85086-4964 | 2019-08-15 |
1659937563 | Daniel Cooper | Physical Therapist | 20242 N 29th Pl, Phoenix, AZ 85050-4711 | 2019-05-15 |
1649836552 | Zachary Allen Cash | Physical Therapist | 20940 N Tatum Blvd Ste B290, Phoenix, AZ 85050-4265 | 2019-05-15 |
1578035630 | Premier Fitness Systems LLC | Physical Therapist | 7267 E Adobe Dr Ste 101, Scottsdale, AZ 85255-4032 | 2018-12-28 |
1053806729 | Melanie Topete | Physical Therapist | 2525 S Rural Rd Ste 5s, Tempe, AZ 85282-2444 | 2018-06-26 |
1104318344 | Freddy Ruiz Jr. | Physical Therapist | 2330 N 75th Ave Ste 113, Phoenix, AZ 85035-1200 | 2018-06-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.