Fiesta Pediatric Therapy
Fiesta Pediatric Therapy is a healthcare organization registered as Early Intervention Provider Agency in Phoenix, AZ, holding Type 2 (organization) NPI 1255711131 since 2015. The authorized official on file is Vanessa Gaiser, Speech Language Pathologist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255711131 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fiesta Pediatric Therapy |
| Practice address | 2302 N 15TH AVE, Phoenix, AZ, 85007 |
| Phone | 6023964374 |
| Enumeration date | 2015-06-04 |
| Last updated in NPPES | 2015-06-04 |
Authorized official
| Name | Vanessa Gaiser |
|---|---|
| Title | Speech Language Pathologist |
| Phone | 6023964374 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | Primary | TSLP9051 | AZ |
Copy-ready billing details
Provider: Fiesta Pediatric Therapy NPI: 1255711131 Taxonomy: 252Y00000X (Early Intervention Provider Agency) Address: 2302 N 15TH AVE, Phoenix, AZ, 85007
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376536250 | Anna Cardosa Gray | Individual | Physical Therapist | Phoenix, AZ |
| 1538181599 | Pascal Mansell | Individual | Durable Medical Equipment & Medical Supplies | Phoenix, AZ |
| 1275878332 | Caitlin Leete | Individual | Speech-Language Pathologist | Phoenix, AZ |
| 1326383381 | Amy Perkins | Individual | Specialist | Phoenix, AZ |
| 1518302280 | Adam Butler | Individual | Occupational Therapist | Phoenix, AZ |
| 1528489804 | Mishelle Rudzinski | Individual | Speech-Language Pathologist | Phoenix, AZ |
| 1326441940 | Kimberlee Ellison | Individual | Pediatric Physical Therapist | Phoenix, AZ |
| 1669876603 | Sarah Buckingham | Individual | Physical Therapist | Phoenix, AZ |
Verify this record
Cross-check NPI 1255711131 against the authoritative CMS record: view Fiesta Pediatric Therapy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Fiesta Pediatric Therapy located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-06-04.