Healthcare Provider Details

I. General information

NPI: 1578826731
Provider Name (Legal Business Name): RITA L MYERS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3345 S VAL VISTA DR STE 101
GILBERT AZ
85297-7331
US

IV. Provider business mailing address

1844 E BASELINE ROAD STE C-5
TEMPE AZ
85283-1506
US

V. Phone/Fax

Practice location:
  • Phone: 480-857-7123
  • Fax: 480-857-8250
Mailing address:
  • Phone: 480-833-1005
  • Fax: 480-833-1312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-005288
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number5288
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: