Andrea J McWhorter, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5833 Issued in AZ

Practice address

14545 W Grand Ave Ste 108
Surprise, AZ 85374-7279

Phone

(623) 544-0300

Fax

(623) 544-0239

NPI assigned

May 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vital Care Rehabilitation LLCGroup PAC ID 1759393176, 2 clinicians

Petkov Bodywork Therapy LLCGroup PAC ID 8820428444, 13 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 and National Provider Directory roles.

• Vital Care Rehabilitation, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Surprise, AZ
  • NPI 1265479406

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Petkov Bodywork Therapy, LLC

  • Physical Rehabilitation Occupational Therapist
  • Glendale, AZ
  • NPI 1386271690
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508869512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 W GRAND AVE STE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747279",
            "telephone_number": "623-544-0300",
            "fax_number": "623-544-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 W GRAND AVE STE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747279",
            "telephone_number": "623-544-0300",
            "fax_number": "623-544-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWHORTER",
        "first_name": "ANDREA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "723165",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Paul McMillen, PHARMACIST
• Aundrea McMillon
• Christina Elizabeth McNamara, PTA
• Madison McNelly
• Olivia McNish, OTD
• MD Cares at Sun City LLC
• MD24 Az Doctors, Inc.
• MD24 Icrp, Inc.
• MD24 Ihealth, Inc.
• MD24 Ihospitalists, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.