Healthcare Provider Details

I. General information

NPI: 1205206430
Provider Name (Legal Business Name): STEVEN ANTHONY ESQUER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5281 N 99TH AVE STE 200
GLENDALE AZ
85305-3199
US

IV. Provider business mailing address

14287 N 87TH ST STE 116
SCOTTSDALE AZ
85260-3698
US

V. Phone/Fax

Practice location:
  • Phone: 623-889-0411
  • Fax: 623-889-0410
Mailing address:
  • Phone: 602-329-8250
  • Fax: 480-565-1898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number43149
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number32111
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: