Individual provider Active NPI

Nicholas Culotta

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1508641481
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-33189 Issued in AZ
Practice address
885 E Warner Rd
Gilbert, AZ 85296-3075
Phone
(480) 681-6400
NPI assigned
Aug 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 LPT-33189 AZ Primary

Addresses

Primary practice location

885 E Warner Rd
Gilbert, AZ 85296-3075

Mailing address

885 E Warner Rd
Gilbert, AZ 85296-3075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018003808 AZ Practitioner - Physical Therapist in Private Practice 4688029168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

885 E Warner Rd
Suite 102
Gilbert, AZ 85296-3077
Phone (480) 681-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-33189AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Aug 21, 2023 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Aug 21, 2023 Accepting new patients

Locations

885 E Warner Rd
Ste 102
Gilbert, AZ 85296
Phone (480) 681-6400

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212
Phone (480) 326-3922

5151 E Broadway Rd
Ste 102
Mesa, AZ 85206
Phone (480) 396-9922

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

Organizations & group practices 5

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1508641481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 E WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 E WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963075",
            "telephone_number": "480-681-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULOTTA",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-33189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.