Individual provider Active NPI

Mary Anne Dicaro, PT

  • Physical Therapist
  • Sun City West, AZ
National Provider Identifier
1285765305
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3518 Issued in AZ
Practice address
14300 W Granite Valley Dr Ste E21
Sun City West, AZ 85375-5798
Phone
(623) 546-6712
Fax
(623) 546-6739
NPI assigned
Mar 8, 2007
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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 3518 AZ Primary

Addresses

Primary practice location

14300 W Granite Valley Dr Ste E21
Sun City West, AZ 85375-5798

Mailing address

7122 W Softwind Dr
Peoria, AZ 85383-3247
Phone (602) 762-5272

Other practice location 1

7122 W Softwind Dr
Peoria, AZ 85383-3247
Phone (602) 762-5272

Other identifiers 1

IdentifierTypeStateIssuer
391326MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3518AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
True Care Physical Therapy and Rehabilitation, PLLC CurrentSince Dec 11, 2023 Accepting new patients
Valley Rehabilitation of Sun City Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Northwest Orthopedic & Sports Physical Therapy LLC Past Accepting new patients
Essential Home Rehab, PLLC Physical Therapist PastSince Jan 31, 2021 Accepting new patients

Locations

13128 N 94th Dr
Ste 207
Peoria, AZ 85381
Phone (623) 974-1797

14300 W Granite Valley Dr
Ste E21
Sun City West, AZ 85375
Phone (623) 546-6712

14418 W Meeker Blvd
Ste 103
Sun City West, AZ 85375
Phone (623) 546-6712

14815 W Bell Rd
Ste 110
Surprise, AZ 85374
Phone (623) 777-1870

Organizations & group practices 4

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1285765305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7122 W SOFTWIND DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833247",
            "telephone_number": "602-762-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR STE E21",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755798",
            "telephone_number": "623-546-6712",
            "fax_number": "623-546-6739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7122 W Softwind Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853833247",
            "country_code": "US",
            "telephone_number": "602-762-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICARO",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391326",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.