Individual provider Active NPI

Angela Rae Jowaiszas, P.T.

  • Orthopedic Physical Therapist
  • Mesa, AZ
National Provider Identifier
1487706677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2089 Issued in AZ
Practice address
1919 E McKellips Rd
Suite 106
Mesa, AZ 85203-2844
Phone
(602) 418-7031
Fax
(480) 610-9811
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2089 AZ Primary

Addresses

Primary practice location

1919 E McKellips Rd
Suite 106
Mesa, AZ 85203-2844

Mailing address

2253 E Hale St
Mesa, AZ 85213-4012
Phone (602) 418-7031

Other identifiers 2

IdentifierTypeStateIssuer
330040OtherAZPHCS
AZ0463340OtherAZBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308001009 AZ Practitioner - Physical Therapist in Private Practice 4082668785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zancam LLCGroup PAC ID 9638123334, 3 clinicians
Capptcg, LLCGroup PAC ID 2668770157, 30 clinicians

Practice addresses (Care Compare)

Mesa, AZ 85213
Phone (602) 418-7031

1255 N Arizona Ave
Unit 1217
Chandler, AZ 85225-0710
Phone (602) 380-6807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson & Bates Inc Physical Therapist CurrentSince Jan 9, 2017 Accepting new patients
Zancam LLC CurrentSince Aug 1, 2004 Accepting new patients
Arizona Mobile Therapy LLC Physical Therapist CurrentSince Sep 23, 2025 Accepting new patients
Capptcg, LLC Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients

Locations

1919 E McKellips Rd
Ste 106
Mesa, AZ 85203
Phone (480) 833-0302

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487706677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 E HALE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134012",
            "telephone_number": "602-418-7031",
            "fax_number": "480-610-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E MCKELLIPS RD",
            "address_2": "SUITE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032844",
            "telephone_number": "602-418-7031",
            "fax_number": "480-610-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOWAISZAS",
        "first_name": "ANGELA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "330040",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0463340",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.