Dustin Akina, P.T., DPT
Individual provider Active NPI Physical Therapist · Sacaton, AZ
NPI 1124569892 · NPPES record last updated Mar 15, 2017
Key facts
- NPI
- 1124569892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12868 (AZ)
- Practice address
- 483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038 - Phone
- (602) 528-1200
- Fax
- (602) 528-1255
- NPI assigned
- Mar 15, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170406000129 | TX | Practitioner - Physical Therapist in Private Practice | 9931485976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12868 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Health Care | Current |
Accepting new patients | |
| Gila River Health Care Corporation | Current |
Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients |
Locations
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12868 | AZ | Yes |
Addresses
Primary practice location
483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038
Mailing address
P.O. Box 38
Sacaton, AZ 85147-0038
Phone (602) 528-1200
Other providers in Sacaton, AZ
- Robert James Adams
- Edward Adu'Elohiym
- Evelyn Q Aguila
- Lorraine Susan Aguilar
- Cynthia C Akason
- Sheiba Ali
- Keith Allen
- Arlene S Allison
- Ted Whitney Allison
- Marlene D Allshouse
All providers in Sacaton, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.