Individual provider Active NPI

Juliet Amanda Cortina, PT, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1053806950
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-30101 Issued in AZ
Practice address
8607 E Pecos Rd Ste 116
Mesa, AZ 85212-6572
Phone
(480) 500-1446
Fax
(855) 535-7130
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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-30101 AZ Primary

Addresses

Primary practice location

8607 E Pecos Rd Ste 116
Mesa, AZ 85212-6572

Mailing address

1052 W Basswood Ave
Queen Creek, AZ 85140-7625
Phone (480) 381-2768

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821003964 AZ Practitioner - Physical Therapist in Private Practice 7911256110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Performance InstituteGroup PAC ID 1052787017, 4 clinicians

Practice addresses (Care Compare)

8607 E Pecos Rd
Suite 116
Mesa, AZ 85212-9307
Phone (480) 500-1446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-30101AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Performance Institute Physical Therapist CurrentSince Sep 12, 2022 Accepting new patients

Locations

8607 E Pecos Rd
Ste 116
Mesa, AZ 85212
Phone (480) 500-1446

Organizations & group practices 1

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1053806950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 W BASSWOOD AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407625",
            "telephone_number": "480-381-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 E PECOS RD STE 116",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852126572",
            "telephone_number": "480-500-1446",
            "fax_number": "855-535-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTINA",
        "first_name": "JULIET",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-05-10",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30101",
            "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 May 10, 2024; 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.