Individual provider Active NPI

Stephanie Werkau

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1073055810
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12690 Issued in AZ
Practice address
235 S Dobson Rd
Ste 3
Chandler, AZ 85224-6229
Phone
(480) 306-5832
Fax
(480) 307-9204
NPI assigned
Nov 10, 2016
Last updated
Nov 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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 12690 AZ Primary

Addresses

Primary practice location

235 S Dobson Rd
Ste 3
Chandler, AZ 85224-6229

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127000933 AZ Practitioner - Physical Therapist in Private Practice 7416239413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvest Physical Therapy, LLCGroup PAC ID 3173511375, 11 clinicians

Practice addresses (Care Compare)

225 E Germann Rd
Suite 250
Gilbert, AZ 85297-2911
Phone (855) 331-7522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12690AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Pelvic Docs, LLC Physical Therapist CurrentSince Jun 25, 2023 Accepting new patients
Ideal Rehabilitation LLC PastSince Nov 7, 2016 Accepting new patients

Locations

580 N Camino Mercado
Ste 25
Casa Grande, AZ 85122
Phone (520) 836-8621

2020 N Central Ave
Ste 550
Phoenix, AZ 85004

Organizations & group practices 3

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": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1073055810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S DOBSON RD",
            "address_2": "STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246229",
            "telephone_number": "480-306-5832",
            "fax_number": "480-307-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERKAU",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.