Phoenix Mountain Therapy LLC
NPI 1053122689 · Physical Therapist · Scottsdale, AZ
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Mountain Therapy LLC is a Physical Therapist organization in Scottsdale, AZ (NPI 1053122689).
Provider details
- NPI number
- 1053122689
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Soon Burnam, Secretary(949) 540-1249
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Phoenix Mountain Therapy
- Doing business as
- Phoenix Mountain Therapy
Registry dates
- Enumerated
- 2025-01-14
- Last updated
- 2026-02-10
- Certified
- 2026-02-10
Frequently asked questions
- What is Phoenix Mountain Therapy LLC's NPI number?
- Phoenix Mountain Therapy LLC's National Provider Identifier (NPI) is 1053122689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Mountain Therapy LLC?
- Phoenix Mountain Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Phoenix Mountain Therapy LLC located?
- Phoenix Mountain Therapy LLC's practice location on file with NPPES is 7370 E Gold Dust Ave Rm 212, Scottsdale, AZ 85258-1025.
- What is Phoenix Mountain Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Mountain Therapy LLC is (602) 816-3924.
- Does Phoenix Mountain Therapy LLC accept Medicare?
- Phoenix Mountain Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phoenix Mountain Therapy LLC?
- The authorized official listed on Phoenix Mountain Therapy LLC's NPPES record is Soon Burnam, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Mountain Therapy LLC's NPI active?
- Yes — Phoenix Mountain Therapy LLC's NPI (1053122689) is active in the NPPES registry as of the last update on 2026-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.