Organization
GOLDEN YEARS PHYSICAL THERAPY LLC
Active
Organization
GOLDEN YEARS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LEE DERHAM PT, DPT (PHYSICAL THERAPIST)
(425) 750-9526
Entity
Organization
Contact information
Practice address
11453 E REUBEN AVE, MESA, AZ 85212-4113
(425) 750-9526
Mailing address
11453 E REUBEN AVE, MESA, AZ 85212-4113
(425) 750-9526
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up