Active NPI
Andrew Clark, DPT
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1255114104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-33161
- Practice address
- 9364 E Raintree Dr
Scottsdale, AZ 85260-2200 - Phone
- (480) 661-1124
- NPI assigned
- Aug 15, 2023
- Last updated
- Aug 15, 2023
- 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 | LPT-33161 | AZ | Primary |
Addresses
Primary practice location
9364 E Raintree Dr
Scottsdale, AZ 85260-2200
Mailing address
9494 E Redfield Rd
Scottsdale, AZ 85260-3757
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9376 E Bahia Dr
Suite 103
Scottsdale, AZ 85260-1532
Phone (480) 556-8406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-33161 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endurance Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Endurance Rehabilitation LLC | Current | Accepting new patients |
Locations
9376 E Bahia Dr
Ste 103
Scottsdale, AZ 85260
Phone (480) 556-8406
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Scottsdale, AZ
- NPI 1619974052
-
dba Endurance Rehabilitation Arcadia
- Physical Therapist
- Phoenix, AZ
- NPI 1194886556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1255114104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9494 E REDFIELD RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9364 E RAINTREE DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602200",
"telephone_number": "480-661-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ANDREW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-33161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Clarity Springs Healthcare PLLC
- Katharine Clarizio, DO
- Clark H. Hansen, N.M.D., LTD (Hansen Clinic)
- Clark Steere Productions LLC (The Clark Clinic for Adult Healthcare & Wellness)
- Amanda Clark, LAC, NCC, BHP
- Brenda M Clark, FNP
- Chassitti Clark
- Crissa Marie Clark, PHARM.D.
- Jacquelyn Marie Clark
- James P Clark, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.