Individual provider Active NPI

Kortney Daly, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1316641905
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10278 Issued in AZ
Practice address
10200 N 92ND St Ste 225
Scottsdale, AZ 85258-4536
Phone
(480) 697-4824
Fax
(480) 697-4825
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10278 AZ Primary

Addresses

Primary practice location

10200 N 92ND St Ste 225
Scottsdale, AZ 85258-4536

Mailing address

PO Box 73334
Phoenix, AZ 85050-1039
Phone (760) 310-2528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523002675 AZ Practitioner - Physician Assistant 7012359946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Orthopedics LLCGroup PAC ID 7810365145, 12 clinicians

Practice addresses (Care Compare)

10200 N 92ND St
Suite 225
Scottsdale, AZ 85258-4536
Phone (480) 697-4824

10290 N 92ND St
Suite 101
Scottsdale, AZ 85258-4508
Phone (480) 697-4824

13660 N 94TH Dr
Suite C4
Peoria, AZ 85381-4841
Phone (480) 697-4824

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Az Orthopedics LLC Physician Assistant CurrentSince May 6, 2024 Accepting new patients

Locations

13660 N 94th Dr
Ste C4
Peoria, AZ 85381
Phone (480) 697-4824

10200 N 92nd St
Ste 225
Scottsdale, AZ 85258
Phone (480) 391-3885

10290 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 697-4824

Interoperability endpoints

  • Direct secure messaging: kortney.daly.1@27410.direct.athenahealth.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1316641905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73334",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501039",
            "telephone_number": "760-310-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 N 92ND ST STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584536",
            "telephone_number": "480-697-4824",
            "fax_number": "480-697-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "KORTNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.