Active NPI
Audra Pratt, PT
- Pediatric Physical Therapist
- Phoenix, AZ
National Provider Identifier
1407164155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2436
- Practice address
- 3214 W Louise Dr
Phoenix, AZ 85027-1627 - Phone
- (623) 434-4989
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2436 | AZ | Primary |
Addresses
Primary practice location
3214 W Louise Dr
Phoenix, AZ 85027-1627
Mailing address
3214 W Louise Dr
Phoenix, AZ 85027
Phone (623) 434-4989
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Therapy Services, Inc | Pediatrics | Current | Accepting new patients |
Locations
4045 E Union Hills Dr
Ste 110
Phoenix, AZ 85050
Phone (602) 485-4444
Organizations & group practices 1
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": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1407164155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3214 W LOUISE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85027",
"telephone_number": "623-434-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3214 W LOUISE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271627",
"telephone_number": "623-434-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "AUDRA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "2436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.