Individual provider Active NPI

Holly Surat, PT, DPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1255647327
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8970 Issued in AZ
Practice address
1949 W Ray Rd
Suite 23
Chandler, AZ 85224-4002
Phone
(480) 917-1720
Fax
(480) 917-6934
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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 8970 AZ Primary

Addresses

Primary practice location

1949 W Ray Rd
Suite 23
Chandler, AZ 85224-4002

Mailing address

1949 W Ray Rd
Suite 23
Chandler, AZ 85224-4002
Phone (480) 917-1720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000307 AZ Practitioner - Physical Therapist in Private Practice 8729272018 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8970AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jul 28, 2023 Accepting new patients

Locations

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

Organizations & group practices 1

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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1255647327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 W RAY RD",
            "address_2": "SUITE 23",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244002",
            "telephone_number": "480-917-1720",
            "fax_number": "480-917-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 W RAY RD",
            "address_2": "SUITE 23",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244002",
            "telephone_number": "480-917-1720",
            "fax_number": "480-917-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAT",
        "first_name": "HOLLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.