Individual provider Active NPI

Nathaniel Andra

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1184420762
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2730 S Val Vista Dr Ste 171
Gilbert, AZ 85295-1683
Phone
(480) 272-7797
NPI assigned
Feb 24, 2025
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 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 NU Primary

Addresses

Primary practice location

2730 S Val Vista Dr Ste 171
Gilbert, AZ 85295-1683

Mailing address

930 N Mesa Dr Unit 1052
Mesa, AZ 85201-4325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260506003394 AZ Practitioner - Physical Therapist in Private Practice 7315415478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 20216
Phoenix, AZ 85036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roc Physical Therapy, PLLC Physical Therapist CurrentSince Jan 7, 2019 Accepting new patients
Recovia LLC Physical Therapist Past Accepting new patients
Recovia LLC Past Accepting new patients

Locations

201 W Guadalupe Rd
Ste 313
Gilbert, AZ 85233
Phone (480) 892-0808

2730 S Val Vista Dr
Ste 171
Gilbert, AZ 85295
Phone (480) 272-7797

5656 S Power Rd
Ste 139
Gilbert, AZ 85295
Phone (480) 272-7797

1917 S Signal Butte Rd
Ste B106
Mesa, AZ 85209
Phone (480) 272-7797

2036 N Gilbert Rd
Ste 7
Mesa, AZ 85203
Phone (480) 272-7797

1628 E Southern Ave
Ste 6
Tempe, AZ 85282
Phone (480) 272-7797

Organizations & group practices 4

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": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1184420762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N MESA DR UNIT 1052",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR STE 171",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951683",
            "telephone_number": "480-272-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRA",
        "first_name": "NATHANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 Feb 24, 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.