Joshua R Atkinson, PTA
Individual provider Active NPI Physical Therapy Assistant · Mesa, AZ
NPI 1346009164 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1346009164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA-014529 (AZ)
- Practice address
- 3514 N Power Rd Ste 133
Mesa, AZ 85215-2911 - Phone
- (480) 625-6693
- Fax
- (480) 304-3269
- NPI assigned
- Mar 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-014529 | AZ | MD | Physical Therapy Assistant |
| CP029887A | CO | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance & Recovery Lab, LLC. | Current |
Accepting new patients |
Locations
3514 N Power Rd
Ste 133
Mesa, AZ 85215
Phone (480) 625-6693
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | CP029887A | CO | |
| Physical Therapy Assistant | 225200000X | PTA-014529 | AZ | Yes |
Addresses
Primary practice location
3514 N Power Rd Ste 133
Mesa, AZ 85215-2911
Mailing address
1538 E Greenway St
Mesa, AZ 85203-4419
Phone (480) 388-7842
Other practice location 1
13606 Xavier Ln Ste C
Broomfield, CO 80023-3604
Phone (303) 404-9494
Other providers in Mesa, AZ
- Hemanthkumar Athiraman
- Lauren Amber Atkins
- Maria Stewart Atkins
- Atkinson Family Chiropractic, PC
- Bryan Curtis Atkinson
- Atlantis Homecare Inc
- Atlas Medical Aco LLC
- Atlas Spine Center LLC
- Satya Reddy Atmakuri
- Atrina Health LLC
All providers in Mesa, AZ · Physical Therapy Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.