Aadya LLC
Organization Active NPI Physical Therapist · Mesa, AZ
NPI 1811728702 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1811728702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AADYA LLC
- Practice address
- 1239 E McKellips Rd
Mesa, AZ 85203-2700 - Phone
- (480) 588-7976
- NPI assigned
- Aug 12, 2024
- Organization subpart
- No
Authorized official
- Name
- Pawan Dhawan
- Title
- President/Owner
- Phone
- (480) 588-7976
Practitioners 5
-
Whitney Shea Lerdall, DPT
-
Pawan A Dhawan, MBBS
-
Amanda Rose Elders, PTA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241107001939 | AZ | Part B Supplier - Clinic/Group Practice | 5294269684 |
Receives reassigned benefits from 3 practitioners Practice locations: Mesa, AZ |
National Provider Directory
Locations
1239 E McKellips Rd
Ste 112
Mesa, AZ 85203
Phone (480) 588-7976
1239 E McKellips Rd
Mesa, AZ 85203
Phone (480) 588-7976
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1239 E McKellips Rd
Mesa, AZ 85203-2700
Mailing address
1239 E McKellips Rd
Mesa, AZ 85203-2700
Phone (480) 588-7976
Other names
- Fyzical Mesa West
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.