Andrew Allen Dax, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-033785 Issued in AZ

Practice address

7205 E Southern Ave Ste 111
Mesa, AZ 85209-2791

Phone

(480) 832-9308

NPI assigned

Aug 29, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MDM Physical Therapy LLCGroup PAC ID 8820242563, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• MDM Physical Therapy, LLC

  • Physical Therapist
  • Mesa, AZ
  • NPI 1730251133
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1063246155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 E BOISE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852077618",
            "telephone_number": "480-436-4313",
            "fax_number": "480-807-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 E SOUTHERN AVE STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092791",
            "telephone_number": "480-832-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAX",
        "first_name": "ANDREW",
        "middle_name": "ALLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler N Davis, DMD
• Tyshionna Davis
• Dawn of a New Day Counseling PLLC
• Janis Rayann Dawn, M.S., CCC-SLP
• Juanita Dawson, MSW
• Rebekah Day, LCSW
• Jordan Dayao
• Shirley Dayley
• Benedict Bognot Dayrit, MD
• Jared Lee Dayton, DO

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.