Individual provider Active NPI

Liat Chana Avital, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1063873289
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-32828 Issued in AZ
Practice address
14001 N 7TH St Ste F112
Phoenix, AZ 85022-4382
Phone
(480) 265-2140
Fax
(480) 265-2141
NPI assigned
Mar 15, 2016
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X LPT-32828 AZ
Physical Therapist 225100000X 040027-1 NY
Physical Therapist 225100000X LPT-32828 AZ Primary
Orthopedic Physical Therapist 2251X0800X 040027-1 NY

Addresses

Primary practice location

14001 N 7TH St Ste F112
Phoenix, AZ 85022-4382

Mailing address

41125 N Daisy Mountain Dr Ste 125
Anthem, AZ 85086-4964
Phone (480) 265-2132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230210000352 AZ Practitioner - Physical Therapist in Private Practice 1759662992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Sport Rehab Specialists at Anthem LLCGroup PAC ID 8527961978, 32 clinicians

Practice addresses (Care Compare)

10474 W Thunderbird Blvd
Suite 200
Sun City, AZ 85351-3015
Phone (623) 219-4475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040027-1NYMDPeriodontist
LPT-32828AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sport Rehab Specialists at Anthem, LLC Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients

Locations

9784 W Yearling Rd
Bldg B
Peoria, AZ 85383
Phone (623) 412-2117

14001 N 7th St
Ste F112
Phoenix, AZ 85022
Phone (480) 265-2140

41125 N Daisy Mountain Dr
Ste 121
Phoenix, AZ 85086
Phone (623) 551-9706

41125 N Daisy Mountain Dr
Ste 125
Phoenix, AZ 85086
Phone (480) 265-2132

10474 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351
Phone (623) 219-4475

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, 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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1063873289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR STE 125",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864964",
            "telephone_number": "480-265-2132",
            "fax_number": "623-551-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 N 7TH ST STE F112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224382",
            "telephone_number": "480-265-2140",
            "fax_number": "480-265-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVITAL",
        "first_name": "LIAT",
        "middle_name": "CHANA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "LPT-32828",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040027-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32828",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "040027-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.