Active NPI
Anthony Lopaka Lelo, DPT, ATC
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7364PT
- Practice address
- 1951 W Camelback Rd Ste 101
Phoenix, AZ 85015-3483 - Phone
- (480) 396-2781
- Fax
- (480) 854-3094
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7364PT | AZ | Primary |
Addresses
Primary practice location
1951 W Camelback Rd Ste 101
Phoenix, AZ 85015-3483
Mailing address
4850 E Baseline Rd Ste 114
Mesa, AZ 85206-4626
Phone (480) 396-2781
Other practice location 1
4850 E Baseline Rd Ste 114
Mesa, AZ 85206-4626
Phone (480) 396-2781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199399 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1951 W Camelback Rd
Suite 101
Phoenix, AZ 85015-3483
Phone (480) 396-2781
2524 S San Tan Village Pkwy
Suite 107
Gilbert, AZ 85295-0299
Phone (480) 814-8222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7364PT | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arenson Wasserbeck LLC | Physical Therapist | Current | Accepting new patients |
| Aw Broadway and Craycroft, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2900 W Ray Rd
Chandler, AZ 85224
4850 E Baseline Rd
Ste 114
Mesa, AZ 85206
Phone (480) 396-2781
1951 W Camelback Rd
Ste 101
Phoenix, AZ 85015
Phone (480) 396-2781
5545 E Broadway Blvd
Ste 113
Tucson, AZ 85711
Phone (520) 372-2714
Organizations & group practices 3
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.
-
- Physical Therapist
- Mesa, AZ
- NPI 1316946379
-
- Physical Therapist
- Gilbert, AZ
- NPI 1578579231
-
- Physical Therapist
- Tucson, AZ
- NPI 1588386494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1215993175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 E BASELINE RD STE 114",
"city": "MESA",
"state": "AZ",
"postal_code": "852064626",
"telephone_number": "480-396-2781",
"fax_number": "480-854-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 W CAMELBACK RD STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850153483",
"telephone_number": "480-396-2781",
"fax_number": "480-854-3094"
}
],
"practiceLocations": [
{
"address_1": "4850 E Baseline Rd Ste 114",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852064626",
"country_code": "US",
"telephone_number": "480-396-2781",
"fax_number": "480-854-3094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LELO",
"first_name": "ANTHONY",
"middle_name": "LOPAKA",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7364PT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199399",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.