Golden Years Physical Therapy LLC
NPI 1306610100 · Geriatric Physical Therapist · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Golden Years Physical Therapy LLC is a Geriatric Physical Therapist organization in Mesa, AZ (NPI 1306610100).
Provider details
- NPI number
- 1306610100
- Entity type
- Organization
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Derham, Physical Therapist(425) 750-9526
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs 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
Registry dates
- Enumerated
- 2023-11-13
- Last updated
- 2023-11-13
- Certified
- 2023-11-12
Frequently asked questions
- What is Golden Years Physical Therapy LLC's NPI number?
- Golden Years Physical Therapy LLC's National Provider Identifier (NPI) is 1306610100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Golden Years Physical Therapy LLC?
- Golden Years Physical Therapy LLC is classified in the NPPES registry as Geriatric Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Golden Years Physical Therapy LLC located?
- Golden Years Physical Therapy LLC's practice location on file with NPPES is 11453 E Reuben Ave, Mesa, AZ 85212-4113.
- What is Golden Years Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Golden Years Physical Therapy LLC is (425) 750-9526.
- Does Golden Years Physical Therapy LLC accept Medicare?
- Golden Years Physical 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 Golden Years Physical Therapy LLC?
- The authorized official listed on Golden Years Physical Therapy LLC's NPPES record is Jennifer Derham, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Golden Years Physical Therapy LLC's NPI active?
- Yes — Golden Years Physical Therapy LLC's NPI (1306610100) is active in the NPPES registry as of the last update on 2023-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.