Individual provider Active NPI

Amanda Moundraty

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1700634839
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
40 Spur Cir
Scottsdale, AZ 85251-5461
Phone
(602) 881-1370
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

40 Spur Cir
Scottsdale, AZ 85251-5461

Mailing address

2040 N Scottsdale Rd Apt 1035
Scottsdale, AZ 85257-0138
Phone (860) 816-9233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002003502 AZ Practitioner - Qualified Speech Language Pathologist 7012413552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29222 Rancho Viejo Rd
Suite 127
San Juan Capistrano, CA 92675-1049

8035 E Brown Rd
Mesa, AZ 85207-3901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montecito Outpatient Rehabilitation LLC Speech-Language Pathologist CurrentSince Aug 15, 2025 Accepting new patients

Locations

8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1700634839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N SCOTTSDALE RD APT 1035",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852570138",
            "telephone_number": "860-816-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPUR CIR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515461",
            "telephone_number": "602-881-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNDRATY",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.