Active NPI
Andrew Yanes
- Physical Therapist
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31403
- Practice address
- 13951 W Grand Ave
Surprise, AZ 85374-2436 - Phone
- (623) 537-9790
- NPI assigned
- Oct 26, 2020
- 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 | 31403 | AZ | Primary |
Addresses
Primary practice location
13951 W Grand Ave
Surprise, AZ 85374-2436
Mailing address
8530 W Fullam St
Peoria, AZ 85382-3033
Phone (623) 792-0084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200863708 | Other | AZ | PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31403 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Objectives Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Locations
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
7707 W Deer Valley Rd
Ste 100
Peoria, AZ 85382
Phone (623) 376-9100
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
13951 W Grand Ave
Ste 201
Surprise, AZ 85374
Phone (623) 537-9730
13951 W Grand Ave
Surprise, AZ 85374
Phone (623) 537-9730
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
-
- Orthopedic Physical Therapist
- Surprise, AZ
- NPI 1912214032
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
-
- Physical Therapy Clinic/Center
- Payson, AZ
- NPI 1497222632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1003416595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8530 W FULLAM ST",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823033",
"telephone_number": "623-792-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13951 W GRAND AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742436",
"telephone_number": "623-537-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANES",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "31403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "200863708",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.