Individual provider Active NPI

Anthony Lopaka Lelo, DPT, ATC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1215993175
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7364PT Issued in AZ
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

Updated by the provider on Nov 10, 2023

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 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

IdentifierTypeStateIssuer
199399MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070403000451 AZ Practitioner - Physical Therapist in Private Practice 0547364481 Reassigns benefits to 2 organizations

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
Arenson Wasserbeck LLCGroup PAC ID 8426032061, 10 clinicians
Welch Physical Therapy and Sports Medicine, LLCGroup PAC ID 3779479837, 5 clinicians

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

LicenseStateTypeSpecialty
7364PTAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arenson Wasserbeck LLC Physical Therapist CurrentSince Jan 17, 2022 Accepting new patients
Aw Broadway and Craycroft, LLC Physical Therapist PastSince Sep 20, 2022 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.

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.

Verify at the official NPI Registry.