Individual provider Active NPI

Annie Marie Kane, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1184101198
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
DPT-30079 Issued in AZ
Practice address
706 N McQueen Rd Ste 109
Gilbert, AZ 85233-3538
Phone
(480) 630-2800
Fax
(480) 630-2801
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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 DPT-30079 AZ Primary

Addresses

Primary practice location

706 N McQueen Rd Ste 109
Gilbert, AZ 85233-3538

Mailing address

706 N McQueen Rd Ste 109
Gilbert, AZ 85233-3538
Phone (480) 630-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190328001280 AZ Practitioner - Physical Therapist in Private Practice 5092055004 Reassigns benefits to 1 organization
I20220524001558 TX Practitioner - Physical Therapist in Private Practice 5092055004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPT-30079AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC CurrentSince Jan 28, 2019 Accepting new patients
Gila River Health Care Corporation CurrentSince May 9, 2022 Accepting new patients
Gila River Health Care CurrentSince May 9, 2022 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Az Med LLC Past Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

9327 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 631-3166

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Organizations & group practices 5

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1184101198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N MCQUEEN RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333538",
            "telephone_number": "480-630-2800",
            "fax_number": "480-630-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N MCQUEEN RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333538",
            "telephone_number": "480-630-2800",
            "fax_number": "480-630-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "ANNIE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "DPT-30079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.