=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225995020
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AISHWARYA SRIRAM PT,DPT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2026
-----------------------------------------------------
Last Update Date | 01/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1351 N ALMA SCHOOL RD STE 100
-----------------------------------------------------
City | CHANDLER
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85224-5907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-821-2286
-----------------------------------------------------
Fax | 480-899-9789
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14287 N 87TH ST STE 220
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85260-3698
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-937-1000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 034543
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------