Individual provider Active NPI

Daniel Mychal Sanchez, PTA

  • Physical Therapy Assistant
  • Mesa, AZ
National Provider Identifier
1215770649
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
014506 Issued in AZ
Practice address
946 S Santa Barbara
Mesa, AZ 85202-2820
Phone
(480) 881-2037
NPI assigned
Jun 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 014506 AZ Primary

Addresses

Primary practice location

946 S Santa Barbara
Mesa, AZ 85202-2820

Mailing address

946 S Santa Barbara
Mesa, AZ 85202-2820
Phone (480) 881-2937

Other practice location 1

3700 N 24th St Ste 230
Phoenix, AZ 85016-6526
Phone (602) 903-4383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
014506AZMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1215770649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 S SANTA BARBARA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852022820",
            "telephone_number": "480-881-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 S SANTA BARBARA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852022820",
            "telephone_number": "480-881-2037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 N 24th St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850166526",
            "country_code": "US",
            "telephone_number": "602-903-4383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "DANIEL",
        "middle_name": "MYCHAL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "014506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.