Individual provider Active NPI

Kandra Flora, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1184787996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6553 Issued in AZ
Practice address
1410 W Guadalupe Rd
Suite 117
Gilbert, AZ 85233-3003
Phone
(480) 776-4565
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6553 AZ Primary

Addresses

Primary practice location

1410 W Guadalupe Rd
Suite 117
Gilbert, AZ 85233-3003

Mailing address

1410 W Guadalupe Rd
Suite 117
Gilbert, AZ 85233-3003
Phone (480) 776-4565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070611000289 AZ Practitioner - Physical Therapist in Private Practice 8527164979 Reassigns benefits to 3 organizations
I20250708004235 CA Practitioner - Physical Therapist in Private Practice 8527164979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6553AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
George Wang,MD,LLC CurrentSince Sep 5, 2020 Accepting new patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Feb 12, 2021 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince May 19, 2025 Accepting new patients
George Wang,MD,LLC CurrentSince Sep 5, 2020 Accepting new patients
Skyline Physical Therapy Aquatics and Rehab Specialists Physical Therapist Past Accepting new patients

Locations

2919 S Ellsworth Rd
Ste 135
Mesa, AZ 85212
Phone (480) 357-5780

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

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

5800 Lonetree Blvd
Rocklin, CA 95765

Organizations & group practices 7

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184787996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W GUADALUPE RD",
            "address_2": "SUITE 117",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333003",
            "telephone_number": "480-776-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W GUADALUPE RD",
            "address_2": "SUITE 117",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333003",
            "telephone_number": "480-776-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORA",
        "first_name": "KANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6553",
            "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 8, 2007; 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.