Individual provider Active NPI

Douglas P Ostrander, MS, PT

  • Physical Therapist
  • Avondale, AZ
National Provider Identifier
1023012887
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10803 Issued in AZ
Practice address
10450 W McDowell Rd Ste 102
Avondale, AZ 85392-4901
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 016280 NY
Physical Therapist 225100000X 10803 AZ Primary

Addresses

Primary practice location

10450 W McDowell Rd Ste 102
Avondale, AZ 85392-4901

Mailing address

18384 W Summerhaven Dr
Goodyear, AZ 85338-5369

Other practice location 1

4383 Route 23
Suite 102
Cairo, NY 12413-2680
Phone (518) 622-9200

Other identifiers 1

IdentifierTypeStateIssuer
02250562MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014001238 AZ Practitioner - Physical Therapist in Private Practice 8224075734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21250 W Roosevelt St
Suite 106
Buckeye, AZ 85326-0313
Phone (602) 648-5444

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

8405 N Pima Ctr Pkwy
Suite 101
Scottsdale, AZ 85258-4638
Phone (602) 493-9361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10803AZMDPharmacist
016280NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC CurrentSince Apr 1, 2019 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients

Locations

10450 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 846-7614

18555 N 79th Ave
Ste E101
Glendale, AZ 85308
Phone (602) 631-3161

20325 N 51st Ave
Ste 150
Glendale, AZ 85308
Phone (602) 795-6300

14044 W Camelback Rd
Ste 126
Litchfield Park, AZ 85340
Phone (623) 846-7614

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1023012887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18384 W SUMMERHAVEN DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 W MCDOWELL RD STE 102",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924901",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4383 Route 23",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Cairo",
            "state": "NY",
            "postal_code": "124132680",
            "country_code": "US",
            "telephone_number": "518-622-9200",
            "fax_number": "518-622-9945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTRANDER",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016280",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02250562",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.

Verify at the official NPI Registry.