Anissa L. Pongratz, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5241 Issued in AZ

Practice address

641 W Southern Ave
Mesa, AZ 85210-5004

Phone

(602) 222-3032

Fax

(480) 615-1117

NPI assigned

Jun 11, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pongratz Physical Therapy, LLC

  • Physical Therapist
  • Mesa, AZ
  • NPI 1982887113
  NPD (past) Authorized official
• Pongratz Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Casa Grande, AZ
  • NPI 1316767809
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649212135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105004",
            "telephone_number": "602-222-3032",
            "fax_number": "480-615-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105004",
            "telephone_number": "602-222-3032",
            "fax_number": "480-615-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGRATZ",
        "first_name": "ANISSA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "5241",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "864399",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aime Andrea Poncho
• Jordan Pond, DMD
• Ponderosa Pine Healthcare, Inc.
• Pongratz Orthotics & Prosthetics, Inc.
• Pongratz Physical Therapy, LLC
• Charli Poole, MS RD
• De'Carlos Poole
• Janelle Tyler Poole, FNP-C
• Melody Pope
• Nicholas Poplin

• Physical Therapist in Mesa, AZ
• Providers in Mesa, 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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.