Individual provider Active NPI

Andy Mai

  • Physical Therapist
  • Los Alamitos, CA
National Provider Identifier
1215658844
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302817 Issued in CA
Practice address
5152 Katella Ave Ste 106
Los Alamitos, CA 90720-2843
Phone
(562) 431-6004
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 302817 CA Primary

Addresses

Primary practice location

5152 Katella Ave Ste 106
Los Alamitos, CA 90720-2843

Mailing address

1154 N Crown St
Anaheim, CA 92801-2025
Phone (714) 595-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221014000751 CA Practitioner - Physical Therapist in Private Practice 9133595242 Reassigns benefits to 2 organizations
I20240423004396 WA Practitioner - Physical Therapist in Private Practice 9133595242 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hidef Seattle,LLCGroup PAC ID 1850775917, 22 clinicians

Practice addresses (Care Compare)

2211 5TH Ave
Seattle, WA 98121-4034
Phone (206) 693-9929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302817CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Aug 28, 2024 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Swedish Health Services Physical Therapist CurrentSince Aug 28, 2024 Accepting new patients
Einhorn Mandas & Bradley Rehab Inc Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Swedish Health Services Current Accepting new patients
Hidef Seattle,LLC CurrentSince Jul 1, 2024 Accepting new patients
520 Physical Therapy, LLC Physical Therapist PastSince May 16, 2021 Accepting new patients

Locations

5152 Katella Ave
Ste 106
Los Alamitos, CA 90720
Phone (562) 431-5000

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

13555 SE 36th St
Ste 100
Bellevue, WA 98006

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

2211 5th Ave
Seattle, WA 98121
Phone (206) 693-9929

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

Organizations & group practices 10

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1215658844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 N CROWN ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012025",
            "telephone_number": "714-595-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 KATELLA AVE STE 106",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202843",
            "telephone_number": "562-431-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "ANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.