Active NPI
Andrew Ballard
- Physical Therapist
- Gilbert, AZ
National Provider Identifier
1003353053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9844
- Practice address
- 413 E Tremaine Ave
Gilbert, AZ 85234-4623 - Phone
- (602) 550-4730
- NPI assigned
- Jan 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9844 | AZ | Primary |
Addresses
Primary practice location
413 E Tremaine Ave
Gilbert, AZ 85234-4623
Mailing address
413 E Tremaine Ave
Gilbert, AZ 85234-4623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1003353053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 E TREMAINE AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 E TREMAINE AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344623",
"telephone_number": "602-550-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.