Healthcare Provider Details

I. General information

NPI: 1891981684
Provider Name (Legal Business Name): DISCOVERY THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 02/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3492 E TEMECULA CT
GILBERT AZ
85297-9466
US

IV. Provider business mailing address

3492 E TEMECULA CT
GILBERT AZ
85297-9466
US

V. Phone/Fax

Practice location:
  • Phone: 602-373-9897
  • Fax:
Mailing address:
  • Phone: 602-373-9897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number580498
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP0725
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberSLP0725
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number580498
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberSLP0725
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number580498
License Number StateAZ
# 8
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number580498
License Number StateAZ

VIII. Authorized Official

Name: WHITNEY PIMENTEL
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.A.
Phone: 602-373-9897