# ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
- **Other names:** OrthoArizona, OrthoArizona Sossaman PT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538855622
- **Legal business name:** ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
- **Authorized official:** DALEINA BULGER (CREDENTIALING MANAGER)
- **Authorized official phone:** (602) 457-7300

## Contact information

- **Practice address:** 3215 S SOSSAMAN RD, MESA, AZ 85212-9646
- **Practice address phone:** (602) 648-5444
- **Practice address fax:** (602) 772-3801
- **Mailing address:** PO BOX 80217, PHOENIX, AZ 85060-0217
- **Mailing address phone:** (602) 385-2115
- **Mailing address fax:** (480) 418-3323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 04/12/2023
- **Last updated:** 04/12/2023
