Active NPI
Sapan Dileep Thakur, D.P.T.
- Physical Therapist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 19420 N 59TH Ave Ste H830
Glendale, AZ 85308-6980 - Phone
- (520) 255-4058
- NPI assigned
- Dec 15, 2010
- Last updated
- Sep 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 36640 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 36640 | CA | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
19420 N 59TH Ave Ste H830
Glendale, AZ 85308-6980
Mailing address
1 E Lexington Ave Unit 410
Phoenix, AZ 85012-2482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XDP842A24397 | Other | BLUE CROSS |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19420 N 59TH Ave
Suite H830
Glendale, AZ 85308-6980
Phone (623) 302-9020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Encore Wellness Physical Therapy, Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Nifty After Fifty | Physical Therapist | Past | Accepting new patients |
Locations
19420 N 59th Ave
Ste H830
Glendale, AZ 85308
Phone (623) 302-9020
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
11250 N Tatum Blvd
Ste 101
Phoenix, AZ 85028
Phone (602) 464-6189
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
13794 W Waddell Rd
Ste 204205
Surprise, AZ 85379
Phone (623) 224-2161
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
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
- Phoenix, AZ
- NPI 1558318170
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
-
- Physical Medicine & Rehabilitation Physician
- Whittier, CA
- NPI 1164540902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1679876593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E LEXINGTON AVE UNIT 410",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19420 N 59TH AVE STE H830",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086980",
"telephone_number": "520-255-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKUR",
"first_name": "SAPAN",
"middle_name": "DILEEP",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-15",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "36640",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "36640",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "XDP842A24397",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.