Individual provider Active NPI

Amisha Vargas Covarrubias, PT, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1154847820
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31570 Issued in AZ
Practice address
10861 E Baseline Rd Ste 105a
Mesa, AZ 85209-7922
Phone
(520) 231-1360
Fax
(480) 284-5952
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 LPT-31570 AZ Primary

Addresses

Primary practice location

10861 E Baseline Rd Ste 105a
Mesa, AZ 85209-7922

Mailing address

1059 W Cornell Dr
Tempe, AZ 85283-1652
Phone (520) 231-1360

Other practice location 1

4210 E Baseline Rd Ste 106
Mesa, AZ 85206-4418
Phone (480) 503-2373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608001315 AZ Practitioner - Physical Therapist in Private Practice 2365708344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Physical Therapy LLCGroup PAC ID 1355237645, 87 clinicians

Practice addresses (Care Compare)

1076 W Chandler Blvd
Suite 103
Chandler, AZ 85224-5223
Phone (480) 821-1997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy, LLC CurrentSince May 1, 2021 Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

4210 E Baseline Rd
Ste 106
Mesa, AZ 85206
Phone (480) 503-2373

10861 E Baseline Rd
Ste A105
Mesa, AZ 85209
Phone (520) 231-1360

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1154847820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 W CORNELL DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831652",
            "telephone_number": "520-231-1360",
            "fax_number": "480-284-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 E BASELINE RD STE 105A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097922",
            "telephone_number": "520-231-1360",
            "fax_number": "480-284-5952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4210 E Baseline Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064418",
            "country_code": "US",
            "telephone_number": "480-503-2373",
            "fax_number": "480-503-2375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS COVARRUBIAS",
        "first_name": "AMISHA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31570",
            "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 Apr 29, 2026; 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.