Individual provider Active NPI

Namita Ghate, DPT

  • Physical Therapist
  • Sun Lakes, AZ
National Provider Identifier
1588095020
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8380 Issued in AZ
Practice address
25229 S Sun Lakes Blvd
Ste 119
Sun Lakes, AZ 85248-6453
Phone
(480) 883-6734
Fax
(480) 895-8143
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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 8380 AZ Primary

Addresses

Primary practice location

25229 S Sun Lakes Blvd
Ste 119
Sun Lakes, AZ 85248-6453

Mailing address

25229 S Sun Lakes Blvd
Ste 119
Sun Lakes, AZ 85248-6453
Phone (480) 883-6734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140314000933 AZ Practitioner - Physical Therapist in Private Practice 2466683461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Physical Therapy LLCGroup PAC ID 1355237645, 87 clinicians

Practice addresses (Care Compare)

1076 W Chandler Blvd
Suite 103
Chandler, AZ 85224-5223
Phone (480) 821-1997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy, LLC CurrentSince Dec 15, 2021 Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

Organizations & group practices 1

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": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1588095020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25229 S SUN LAKES BLVD",
            "address_2": "STE 119",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852486453",
            "telephone_number": "480-883-6734",
            "fax_number": "480-895-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25229 S SUN LAKES BLVD",
            "address_2": "STE 119",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852486453",
            "telephone_number": "480-883-6734",
            "fax_number": "480-895-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATE",
        "first_name": "NAMITA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.