Active NPI
Anna Cardosa Gray, PT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1376536250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT6191
- Practice address
- 2302 N 15TH Ave
Phoenix, AZ 85007-1201 - Phone
- (623) 242-6908
- Fax
- (623) 242-6909
- NPI assigned
- Aug 25, 2005
- Last updated
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | LPT6191 | AZ | |
| Physical Therapist | 225100000X | LPT6191 | AZ | Primary |
Addresses
Primary practice location
2302 N 15TH Ave
Phoenix, AZ 85007-1201
Mailing address
4948 W Purdue Ave
Glendale, AZ 85302-3530
Phone (623) 512-6156
Other practice location 1
14557 W Indian School Rd
Goodyear, AZ 85395-9218
Phone (623) 242-6908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811415 | Other | AZ | ARIZONA HEATHCARE COST CONTAINMENT SYSTEM (AHCCCS) |
Other names 1
- Anna L Cardosa
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPT6191 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above & Beyond Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
| Above & Beyond Therapy Services | Specialist | Past | Accepting new patients |
| Arizona Orthopedic Physical Therapy, PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Queen Creek, AZ
- NPI 1215252655
-
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1124011812
Physical Therapist
-
- Physical Therapy Clinic/Center
- Goodyear, AZ
- NPI 1851490627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1376536250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4948 W PURDUE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023530",
"telephone_number": "623-512-6156",
"fax_number": "800-915-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 N 15TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850071201",
"telephone_number": "623-242-6908",
"fax_number": "623-242-6909"
}
],
"practiceLocations": [
{
"address_1": "14557 W Indian School Rd",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853959218",
"country_code": "US",
"telephone_number": "623-242-6908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDOSA GRAY",
"first_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "LPT6191",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT6191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA HEATHCARE COST CONTAINMENT SYSTEM (AHCCCS)",
"identifier": "811415",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "CARDOSA",
"middle_name": "L",
"credential": "M.P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.