Individual provider Active NPI

Andrew Sacks

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1184105918
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8410 W Thomas Rd Ste 136
Phoenix, AZ 85037-3374
Phone
(623) 247-4478
NPI assigned
Aug 29, 2018
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 NU Primary

Addresses

Primary practice location

8410 W Thomas Rd Ste 136
Phoenix, AZ 85037-3374

Mailing address

4650 E Cotton Center Blvd Ste 250
Phoenix, AZ 85040-4806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181026000887 AZ Practitioner - Physical Therapist in Private Practice 8628321338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sozo Physical TherapyGroup PAC ID 4284816711, 5 clinicians
BD Health and Wellness Solutions LLCGroup PAC ID 6305375460, 3 clinicians

Practice addresses (Care Compare)

12220 E Riggs Rd
Suite 101
Chandler, AZ 85249-3739
Phone (480) 895-0965

633 S Estrella Pkwy
Suite 3 120
Goodyear, AZ 85338-9331
Phone (623) 306-7201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sozo Physical Therapy CurrentSince Sep 30, 2020 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Oct 3, 2025 Accepting new patients

Locations

12220 E Riggs Rd
Ste 101
Chandler, AZ 85249
Phone (480) 883-2266

406 N Litchfield Rd
Ste 204
Goodyear, AZ 85338
Phone (602) 995-0400

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

Organizations & group practices 3

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1184105918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 E COTTON CENTER BLVD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850404806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 W THOMAS RD STE 136",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373374",
            "telephone_number": "623-247-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.