MEDICARE: ROBERT MOTTRAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	8636	AZ

General Provider Information

NPI Number	:	1891192381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MOTTRAM

Provider Business Mailing Address
First Line	:	41125 N DAISY MOUNTAIN DR
Second Line	:	SUITE 125
City	:	ANTHEM
State	:	AZ
Zip	:	85086-4954
Country	:	US
Telephone Number	:	623-551-9706
Fax Number	:	623-551-5078

Provider Business Practice Location Address
First Line	:	9784 W YEARLING RD
Second Line	:	BUILDING B, SUITE 1520
City	:	PEORIA
State	:	AZ
Zip	:	85383-1379
Country	:	US
Telephone Number	:	623-412-2117
Fax Number	:	623-412-2118

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2014
Last Update Date	:	11/26/2014

Similar Medicare Providers

1093401556 — SHARON DAMARIS OAIDA DMD
Practice Location Address:

9784 W YEARLING RD STE B-1500
PEORIA, AZ
85383-1379

Practice Phone: 623-232-8066
Practice Fax:

1760524482 — DANIELLE A REED LCSW
Practice Location Address:

9784 W YEARLING RD , STE B-1580
PEORIA, AZ
85383-1379

Practice Phone: 623-825-1777
Practice Fax: 623-825-6757

1619019346 — DANIELLE A REED LCSW PLLC
Practice Location Address:

9784 W YEARLING RD , STE B-1580
PEORIA, AZ
85383-1379

Practice Phone: 623-825-1777
Practice Fax: 623-825-6757

1477708774 — PLEASANT VALLEY DENTISTRY, PLLC
Practice Location Address:

9784 W YEARLING RD , #1500
PEORIA, AZ
85383-1379

Practice Phone: 623-561-1470
Practice Fax: 623-561-1169

1497074769 — AMY SERIN PHD PLLC
Practice Location Address:

9784 W YEARLING RD , B1580
PEORIA, AZ
85383-1379

Practice Phone: 623-824-5051
Practice Fax: 623-825-6757

1679056444 — SEAN JOSEPH SCULLY DPT
Practice Location Address:

9784 W YEARLING RD UNIT 1520
PEORIA, AZ
85383-1379

Practice Phone: 623-412-2117
Practice Fax: 623-412-2118

Directions to “ ROBERT MOTTRAM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.