Individual provider Active NPI

Donovan C Ingley, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1689359374
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6059 E Brown Rd
Mesa, AZ 85205-4453
Phone
(602) 429-3400
Fax
(602) 429-3401
NPI assigned
Jun 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 AZ Primary

Addresses

Primary practice location

6059 E Brown Rd
Mesa, AZ 85205-4453

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016000255 AZ Practitioner - Physical Therapist in Private Practice 5890140610 Reassigns benefits to 1 organization

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
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

6059 E Brown Rd
Mesa, AZ 85205-4453
Phone (602) 429-3400

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Aug 12, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 12, 2023 Accepting new patients

Locations

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

9241 E Cadence Pkwy
Ste 103
Mesa, AZ 85212
Phone (480) 999-4519

6059 E Brown Rd
Mesa, AZ 85205
Phone (602) 429-3400

8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430

6970 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 219-5825

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

Interoperability endpoints

  • Direct secure messaging: donovan.ingley.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 2

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1689359374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6059 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054453",
            "telephone_number": "602-429-3400",
            "fax_number": "602-429-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLEY",
        "first_name": "DONOVAN",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.