Active NPI
Amanda Rose Elders, PTA
- Physical Therapy Assistant
- Mesa, AZ
National Provider Identifier
1770152423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14379
- Practice address
- 1239 E McKellips Rd Ste 112
Mesa, AZ 85203-2700 - Phone
- (480) 588-7976
- NPI assigned
- Jun 17, 2021
- Last updated
- Mar 18, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14379 | AZ | Primary |
Addresses
Primary practice location
1239 E McKellips Rd Ste 112
Mesa, AZ 85203-2700
Mailing address
1239 E McKellips Rd Ste 112
Mesa, AZ 85203-2700
Phone (480) 588-7976
Other practice location 1
5735 E McKellips Rd Ste 106
Mesa, AZ 85215-2875
Phone (480) 269-7953
Other names 1
- Amanda Rose Jans
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind to Body Healing, LLC | Physical Therapy Assistant | Past | Accepting new patients |
| Aadya LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1770152423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 E MCKELLIPS RD STE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "852032700",
"telephone_number": "480-588-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 E MCKELLIPS RD STE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "852032700",
"telephone_number": "480-588-7976"
}
],
"practiceLocations": [
{
"address_1": "5735 E McKellips Rd Ste 106",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852152875",
"country_code": "US",
"telephone_number": "480-269-7953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELDERS",
"first_name": "AMANDA",
"middle_name": "ROSE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "14379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "JANS",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.