Healthcare Provider Details

I. General information

NPI: 1124246723
Provider Name (Legal Business Name): RAINBOW THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6252 E BEVERLY LN
SCOTTSDALE AZ
85254-1355
US

IV. Provider business mailing address

6252 E BEVERLY LN
SCOTTSDALE AZ
85254-1355
US

V. Phone/Fax

Practice location:
  • Phone: 602-320-0473
  • Fax: 480-247-7704
Mailing address:
  • Phone: 602-320-0473
  • Fax: 480-247-7704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5008
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number5008
License Number StateAZ

VIII. Authorized Official

Name: DR. BONNI MOYER
Title or Position: OWNER
Credential: MSPT
Phone: 602-320-0473