Active NPI
Annoushka Amanda Ranaraja, PT, DPT
- Physical Therapist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31409
- Practice address
- 6824 E Brown Rd Ste 102
Mesa, AZ 85207-3703 - Phone
- (480) 924-5514
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- 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 | 31409 | AZ | Primary |
Addresses
Primary practice location
6824 E Brown Rd Ste 102
Mesa, AZ 85207-3703
Mailing address
4455 E Megan St
Gilbert, AZ 85295-5806
Phone (818) 445-1302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 N Academy Blvd
Suite 261
Colorado Springs, CO 80909-1567
Phone (908) 670-7573
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Neurologic Rehabilitation | Current | Accepting new patients | |
| Prestige Rehab Colorado | Physical Therapist | Current | Accepting new patients |
| Roaming Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Prestige Rehab LLC | Physical Therapist | Current | Accepting new patients |
Locations
3160 N Arizona Ave
Ste 106
Chandler, AZ 85225
Phone (480) 699-4845
3961 E Guadalupe Rd
Ste 1
Gilbert, AZ 85234
Phone (480) 699-4845
2020 N Academy Blvd
Ste 261
Colorado Springs, CO 80909
Phone (719) 232-5591
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
- Colorado Springs, CO
- NPI 1972333961
-
- Physical Therapist
- Lakewood, CO
- NPI 1104421304
-
- Rehabilitation Clinic/Center
- Gilbert, AZ
- NPI 1518688746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1013518752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 E MEGAN ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852955806",
"telephone_number": "818-445-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6824 E BROWN RD STE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852073703",
"telephone_number": "480-924-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANARAJA",
"first_name": "ANNOUSHKA",
"middle_name": "AMANDA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "31409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.