Healthcare Provider Details

I. General information

NPI: 1275483679
Provider Name (Legal Business Name): ORTHOPEDIC PERFORMANCE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N CENTENNIAL WAY STE 100
MESA AZ
85201-6733
US

IV. Provider business mailing address

303 N CENTENNIAL WAY STE 100
MESA AZ
85201-6733
US

V. Phone/Fax

Practice location:
  • Phone: 480-534-7598
  • Fax: 480-581-9608
Mailing address:
  • Phone: 480-534-7598
  • Fax: 480-581-9608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID T CALL
Title or Position: OWNER
Credential: DPT
Phone: 480-603-8665