Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Physical Medicine of Mesa LLC

Organization General Practice Physician · NPI 1952917205

Physical Medicine of Mesa LLC provides General Practice Physician services in Mesa, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3614 E Southern Ave Ste 105
Mesa, AZ 85206-2510
Phone: (602) 354-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1952917205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Moshiri — Manager · (602) 441-3573
NPI enumeratedSeptember 22, 2020
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address21001 N Tatum Blvd Ste 1630-606, Phoenix, AZ 85050-4242

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