Individual provider Active NPI

Andrew M Moriarty, PT

  • Physical Therapist
  • Paradise Valley, AZ
National Provider Identifier
1215929633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5140 Issued in AZ
Practice address
5410 N Scottsdale Rd
Suite a-100
Paradise Valley, AZ 85253-7016
Phone
(480) 609-0822
Fax
(480) 609-0828
NPI assigned
Aug 22, 2005
Sex
Male
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 5140 AZ Primary

Addresses

Primary practice location

5410 N Scottsdale Rd
Suite a-100
Paradise Valley, AZ 85253-7016

Mailing address

1245 E Emile Zola Ave
Phoenix, AZ 85022-4947
Phone (602) 296-7363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000946 AZ Practitioner - Physical Therapist in Private Practice 7719920214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Sports Medicine and Rehabilitation LLCGroup PAC ID 2668457979, 172 clinicians

Practice addresses (Care Compare)

15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
Phone (480) 940-8299

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as individual
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5140AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Jul 12, 2022 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Jul 12, 2022 Accepting new patients
Ridgeview Physical Therapy PLLC Physical Therapist Past Accepting new patients
Foothills Sports Medicine & Orthopaedics Phoenix, LLC Physical Therapist PastSince Feb 11, 2008 Accepting new patients
W & W Rehab Services,L.L.C. Physical Therapist PastSince Sep 15, 1999 Accepting new patients
Foothills Sports Medicine & Rehabilitation - Sun City, LLC Physical Therapist Past Accepting new patients

Locations

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

539 E Glendale Ave
Ste 105
Phoenix, AZ 85020
Phone (602) 241-3145

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

5410 N Scottsdale Rd
Ste A100
Scottsdale, AZ 85253
Phone (480) 609-0822

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215929633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 E EMILE ZOLA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224947",
            "telephone_number": "602-296-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD",
            "address_2": "SUITE A-100",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852537016",
            "telephone_number": "480-609-0822",
            "fax_number": "480-609-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, 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.
  • 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.