Individual provider Active NPI

Ashley Marie Deramos, DPT

  • Physical Therapist
  • San Tan Valley, AZ
National Provider Identifier
1255817177
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30088 Issued in AZ
Practice address
36397 N Gantzel Rd
San Tan Valley, AZ 85140-7335
Phone
(480) 567-2987
NPI assigned
Jul 13, 2018
Last updated
Jul 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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 30088 AZ Primary

Addresses

Primary practice location

36397 N Gantzel Rd
San Tan Valley, AZ 85140-7335

Mailing address

4137 E Pony Track LN
San Tan Valley, AZ 85140-6452
Phone (602) 540-8882

Other names 1

  • Ashley Marie Rounds Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809001137 AZ Practitioner - Physical Therapist in Private Practice 6406104306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Tan Physical Therapy PLLCGroup PAC ID 2769496397, 3 clinicians

Practice addresses (Care Compare)

20261 E Ocotillo Rd
Suite 110
Queen Creek, AZ 85142-8806
Phone (480) 677-2771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30088AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvest Physical Therapy, LLC Physical Therapist CurrentSince Oct 9, 2019 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Mar 15, 2024 Accepting new patients
The Pelvic Docs, LLC Physical Therapist CurrentSince Jun 25, 2023 Accepting new patients
San Tan Physical Therapy, PLLC CurrentSince Dec 9, 2025 Accepting new patients
Elite Medical Partners PLLC CurrentSince Dec 9, 2025 Accepting new patients
MDM Physical Therapy, LLC Physical Therapist CurrentSince Oct 9, 2018 Accepting new patients

Locations

580 N Camino Mercado
Ste 25
Casa Grande, AZ 85122
Phone (520) 836-8621

7205 E Southern Ave
Ste 111
Mesa, AZ 85209
Phone (480) 832-9308

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

20261 E Ocotillo Rd
Ste 110
Queen Creek, AZ 85142
Phone (480) 677-2771

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1255817177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 E PONY TRACK LN",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851406452",
            "telephone_number": "602-540-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36397 N GANTZEL RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407335",
            "telephone_number": "480-567-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAMOS",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ROUNDS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.