Individual provider Active NPI

Kara Cuellar, PT, DPT

  • Physical Therapist
  • Avondale, AZ
National Provider Identifier
1730888439
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32759 Issued in AZ
Practice address
1665 N Avondale Blvd # 104
Avondale, AZ 85392-5006
Phone
(602) 933-0980
NPI assigned
Mar 1, 2023
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 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 32759 AZ Primary

Addresses

Primary practice location

1665 N Avondale Blvd # 104
Avondale, AZ 85392-5006

Mailing address

5039 N 128TH Dr
Litchfield Park, AZ 85340-4112
Phone (623) 670-3664

Other practice location 1

12740 N Plaza Del Rio Blvd
Peoria, AZ 85381-8100
Phone (480) 581-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32759AZMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1730888439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 N 128TH DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404112",
            "telephone_number": "623-670-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 N AVONDALE BLVD # 104",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925006",
            "telephone_number": "602-933-0980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12740 N Plaza Del Rio Blvd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853818100",
            "country_code": "US",
            "telephone_number": "480-581-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "KARA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.