Active NPI
Angela Rae Jowaiszas, P.T.
- Orthopedic Physical Therapist
- Mesa, AZ
National Provider Identifier
1487706677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2089
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330040 | Other | AZ | PHCS |
| AZ0463340 | Other | AZ | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson & Bates Inc | Physical Therapist | Current | Accepting new patients |
| Zancam LLC | Current | Accepting new patients | |
| Arizona Mobile Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Capptcg, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Surprise, AZ
- NPI 1104521616
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.