Individual provider Active NPI

Luke Shill, PT, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1104617208
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
342 N Val Vista Dr Ste 106
Mesa, AZ 85213-8609
Phone
(480) 325-3310
NPI assigned
May 16, 2025
Last updated
May 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 Primary

Addresses

Primary practice location

342 N Val Vista Dr Ste 106
Mesa, AZ 85213-8609

Mailing address

730 N Greenfield Rd
Gilbert, AZ 85234-5012
Phone (480) 633-0666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250613002958 AZ Practitioner - Physical Therapist in Private Practice 4587175880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farnsworth Orthopedic Physical Therapy LLCGroup PAC ID 5395729396, 5 clinicians

Practice addresses (Care Compare)

342 N Val Vista Dr
Suite 106
Mesa, AZ 85213-8609
Phone (480) 325-3310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Farnsworth Orthopedic Physical Therapy, LLC Physical Therapist CurrentSince May 23, 2025 Accepting new patients

Locations

730 N Greenfield Rd
Gilbert, AZ 85234
Phone (480) 633-0666

342 N Val Vista Dr
Ste 106
Mesa, AZ 85213
Phone (480) 325-3310

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": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1104617208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N GREENFIELD RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345012",
            "telephone_number": "480-633-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N VAL VISTA DR STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852138609",
            "telephone_number": "480-325-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILL",
        "first_name": "LUKE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 16, 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.