Active NPI
Emily G Ament, DPT
- Physical Therapist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP022293T
- Practice address
- 6059 E Brown Rd
Mesa, AZ 85205-4453 - Phone
- (602) 429-3400
- Fax
- (602) 429-3401
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-033676 | AZ | |
| Physical Therapist | 225100000X | 16315-24 | WI | |
| Physical Therapist | 225100000X | CP022293T | IA | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240820000336 | AZ | Practitioner - Physical Therapist in Private Practice | 8123566320 | 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 LTD
Practice addresses (Care Compare)
20311 S Ellsworth Rd
Suite 110
Queen Creek, AZ 85142-2400
Phone (480) 207-4823
6059 E Brown Rd
Mesa, AZ 85205-4453
Phone (602) 429-3400
6070 W Bell Rd
Suite A103
Glendale, AZ 85308-3774
Phone (602) 782-3965
9241 E Cadence Pkwy
Suite 103
Mesa, AZ 85212-0021
Phone (480) 999-4519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-033676 | AZ | MD | Physical Therapist |
| CP022293T | IA | MD | Physical Therapist |
| 16315-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965
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
- emily.ament.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": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1699453068",
"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",
"fax_number": "630-928-5080"
},
{
"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": "AMENT",
"first_name": "EMILY",
"middle_name": "G",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-033676",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16315-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "CP022293T",
"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 Aug 7, 2024; 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.