Individual provider Active NPI

Andrew James Leydet, PT. DPT.

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1023792215
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-33019 Issued in AZ
Practice address
3507 S Mercy Rd Ste 105
Gilbert, AZ 85297-0441
Phone
(480) 926-0404
NPI assigned
Jun 9, 2023
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-33019 AZ Primary

Addresses

Primary practice location

3507 S Mercy Rd Ste 105
Gilbert, AZ 85297-0441

Mailing address

223970 Laurie Ann LN
Wausau, WI 54401-4141
Phone (715) 297-6054

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105003340 AZ Practitioner - Physical Therapist in Private Practice 3870944622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George Wang,MD,LLCGroup PAC ID 6608789755, 3 clinicians

Practice addresses (Care Compare)

2919 S Ellsworth Rd
Suite 135
Mesa, AZ 85212-2168
Phone (480) 357-5780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-33019AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Nov 18, 2023 Accepting new patients
George Wang,MD,LLC CurrentSince Mar 31, 2025 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Nov 18, 2023 Accepting new patients
George Wang,MD,LLC CurrentSince Mar 31, 2025 Accepting new patients

Locations

3507 S Mercy Rd
Bldg 8
Gilbert, AZ 85297

3507 S Mercy Rd
Ste 105
Gilbert, AZ 85297
Phone (480) 926-0404

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

885 E Warner Rd
Ste 102
Gilbert, AZ 85296
Phone (480) 681-6400

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

2152 S Vineyard
Ste 131
Mesa, AZ 85210
Phone (480) 788-8539

2919 S Ellsworth Rd
Ste 135
Mesa, AZ 85212
Phone (480) 357-5780

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHJFAA/Endpoint/AHJFAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1023792215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223970 LAURIE ANN LN",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014141",
            "telephone_number": "715-297-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 S MERCY RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970441",
            "telephone_number": "480-926-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYDET",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "PT. DPT.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-33019",
            "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 Jun 9, 2023; 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.