Andrea Chavez Davila, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

31430 Issued in AZ

Practice address

2835 E Brown Rd Ste 101
Mesa, AZ 85213-5470

Phone

(480) 807-6644

NPI assigned

Aug 26, 2013

Last updated

Nov 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Fusion Physical Therapy and Sports Wellness PCGroup PAC ID 7012810864, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fusion Physical Therapy and Sports Wellness P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1316927627
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1487088506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135470",
            "telephone_number": "480-807-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ DAVILA",
        "first_name": "ANDREA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "10295A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asad Junaid Chaudhary, MD
• Oshea Chaudhary
• Kern Chaudhry, MD
• Muhammad Chaudhry, MD
• Sreedivya Chava, MD
• Gustavo Chavez Rubio
• Amanda M Chavez, LCSW
• Kyla Marie Chavez, PA-C
• Lisa Chavez
• Madison Chavez

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.