Active NPI
Andrew James Leydet, PT. DPT.
- Physical Therapist
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-33019
- 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, 2023
- 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-33019 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| George Wang,MD,LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| George Wang,MD,LLC | Current | 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
- 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.
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Queen Creek, AZ
- NPI 1801429634
-
dba AZ Pain Management and Neurology
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1972077220
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.