Individual provider Active NPI

Carrie Vogiatzis

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1720115207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6278 Issued in AZ
Practice address
1235 E Harmont Dr
Phoenix, AZ 85020-3864
Phone
(602) 331-1470
Fax
(602) 678-5803
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6278 AZ Primary

Addresses

Primary practice location

1235 E Harmont Dr
Phoenix, AZ 85020-3864

Mailing address

715 W Douglas Ave
Gilbert, AZ 85233-3244
Phone (480) 229-6697

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230421001402 AZ Practitioner - Physical Therapist in Private Practice 4688039878 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6278AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Solutions, LLC CurrentSince Jan 11, 2023 Accepting new patients
Mentis Reo, LLC. CurrentSince Jan 11, 2023 Accepting new patients

Locations

1783 E Queen Creek Rd
Ste 1
Chandler, AZ 85286
Phone (480) 820-6366

690 E Warner Rd
Ste 105
Gilbert, AZ 85296
Phone (480) 820-6366

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720115207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W DOUGLAS AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333244",
            "telephone_number": "480-229-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E HARMONT DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203864",
            "telephone_number": "602-331-1470",
            "fax_number": "602-678-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGIATZIS",
        "first_name": "CARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.