Individual provider Active NPI

Austin Allred Macgillivray

  • Physical Therapy Assistant
  • Chandler, AZ
National Provider Identifier
1104566439
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA-010522 Issued in AZ
Practice address
3180 S Gilbert Rd
Chandler, AZ 85286-5105
Phone
(408) 773-7778
NPI assigned
Apr 1, 2022
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA-010522 AZ Primary

Addresses

Primary practice location

3180 S Gilbert Rd
Chandler, AZ 85286-5105

Mailing address

3180 S Gilbert Rd Ste 5
Chandler, AZ 85286-5105
Phone (480) 773-7778

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL myapluspt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA-010522AZMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Physical Therapy Inc. CurrentSince Apr 17, 2022 Accepting new patients

Locations

3180 S Gilbert Rd
Chandler, AZ 85286
Phone (408) 773-7778

3180 S Gilbert Rd
Ste 5
Chandler, AZ 85286
Phone (480) 773-7778

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1104566439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 S GILBERT RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852865105",
            "telephone_number": "480-773-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 S GILBERT RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852865105",
            "telephone_number": "408-773-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGILLIVRAY",
        "first_name": "AUSTIN",
        "middle_name": "ALLRED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-010522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "myapluspt.com",
            "affiliation": "N",
            "endpointDescription": "Business website",
            "address_1": "3180 S Gilbert Rd Ste 5",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852865105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.