Individual provider Active NPI

Chiemeka Ifesinachi Duru, DPT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1841901717
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
18561 N 59TH Ave Ste 117
Glendale, AZ 85308-1256
Phone
(602) 313-4089
Fax
(623) 322-0664
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X AZ Primary

Addresses

Primary practice location

18561 N 59TH Ave Ste 117
Glendale, AZ 85308-1256

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

919 Annadale Dr
Cedar Park, TX 78613-3269
Phone (504) 258-5480

Other practice location 2

380 N Estrella Pkwy Ste A1
Goodyear, AZ 85338-2885
Phone (623) 322-0654

Other practice location 3

7624 Belair Rd
Baltimore, MD 21236-4088
Phone (667) 219-2169

Other practice location 4

1060 N Main St
Euless, TX 76039-3300
Phone (469) 498-2855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221222001169 AZ Practitioner - Physical Therapist in Private Practice 0345610937 Reassigns benefits to 2 organizations
I20230510000649 MD Practitioner - Physical Therapist in Private Practice 0345610937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

380 N Estrella Pkwy
Suite A1
Goodyear, AZ 85338-2885
Phone (623) 322-0654

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jan 14, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

29822 N Cave Creek Rd
Ste 101
Cave Creek, AZ 85331
Phone (480) 281-0258

18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089

380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266

805 N Dobson Rd
Ste 105
Mesa, AZ 85201
Phone (480) 844-3609

4360 E Brown Rd
Ste 111
Mesa, AZ 85205
Phone (480) 248-7132

805 N Dobson Rd
Mesa, AZ 85201
Phone (602) 313-4000

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

2500 N Silverbell Rd
Ste 150
Tucson, AZ 85745
Phone (520) 624-2999

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

7624 Belair Rd
Baltimore, MD 21236
Phone (667) 219-2169

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

Organizations & group practices 5

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1841901717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18561 N 59TH AVE STE 117",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081256",
            "telephone_number": "602-313-4089",
            "fax_number": "623-322-0664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 Annadale Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786133269",
            "country_code": "US",
            "telephone_number": "504-258-5480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 N Estrella Pkwy Ste A1",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853382885",
            "country_code": "US",
            "telephone_number": "623-322-0654",
            "fax_number": "623-322-0664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7624 Belair Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212364088",
            "country_code": "US",
            "telephone_number": "667-219-2169",
            "fax_number": "410-657-3363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 N Main St",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760393300",
            "country_code": "US",
            "telephone_number": "469-498-2855",
            "fax_number": "469-498-2856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURU",
        "first_name": "CHIEMEKA",
        "middle_name": "IFESINACHI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.