Healthcare Provider Details
I. General information
NPI: 1306240817
Provider Name (Legal Business Name): THERAPY TREE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/13/2014
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9150 W INDIAN SCHOOL RD STE 105
PHOENIX AZ
85037-2385
US
IV. Provider business mailing address
9150 W INDIAN SCHOOL RD STE 130
PHOENIX AZ
85037-2388
US
V. Phone/Fax
- Phone: 623-500-2409
- Fax: 623-232-3250
- Phone: 602-384-0815
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | SLP7933 |
| License Number State | AZ |
VIII. Authorized Official
Name:
BECKIE
MARIE
BROWN
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 480-560-8565