Healthcare Provider Details

I. General information

NPI: 1730006404
Provider Name (Legal Business Name): RORY JARRETT MARTORELLO PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 W CAREFREE HWY STE B-5
PHOENIX AZ
85086-3201
US

IV. Provider business mailing address

4140 N CENTRAL AVE APT 3002
PHOENIX AZ
85012-1857
US

V. Phone/Fax

Practice location:
  • Phone: 702-588-1795
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-033896
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: