Individual provider Active NPI

Anisa Nandy, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1386248136
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10550 N la Canada Dr
Tucson, AZ 85737-7130
Phone
(520) 547-2476
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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 Primary

Addresses

Primary practice location

10550 N la Canada Dr
Tucson, AZ 85737-7130

Mailing address

15410 S Mountain Pkwy Ste 112
Phoenix, AZ 85044-6691
Phone (480) 706-1161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@foothillsrehab.com Orthomed LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201230002282 AZ Practitioner - Physical Therapist in Private Practice 1951714401 Reassigns benefits to 1 organization
I20240228001390 UT Practitioner - Physical Therapist in Private Practice 1951714401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

5373 S Green St
Suite 400
Murray, UT 84123-4740
Phone (801) 442-2615

5373 W Lake Park Blvd
West Valley City, UT 84120-8208
Phone (801) 902-7940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist Current Accepting new patients
Ihc Health Services Inc Physical Therapist CurrentSince Jan 14, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 14, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Dec 1, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 2, 2024 Accepting new patients

Locations

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

1010 E Palmdale St
Ste 130
Tucson, AZ 85714
Phone (520) 623-5551

10550 N La Canada Dr
Ste 160
Tucson, AZ 85737
Phone (520) 547-2476

8770 N Thornydale Rd
Ste 100
Tucson, AZ 85742
Phone (520) 742-7107

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

5373 S Green St
Ste 400
Salt Lake City, UT 84123
Phone (801) 442-2615

5373 W Lake Park Blvd
West Valley City, UT 84120
Phone (801) 902-7940

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1386248136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 S MOUNTAIN PKWY STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446691",
            "telephone_number": "480-706-1161",
            "fax_number": "480-706-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 N LA CANADA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857377130",
            "telephone_number": "520-547-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDY",
        "first_name": "ANISA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@foothillsrehab.com",
            "affiliation": "Y",
            "affiliationName": "Orthomed LLC",
            "address_1": "10550 N La Canada Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857377130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.