Individual provider Active NPI

Andrea West, DPT

  • Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1851055214
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-034141 Issued in AZ
Practice address
3470 E Route 66 Ste 101&103
Flagstaff, AZ 86004-4058
Phone
(928) 843-3159
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 LPT-034141 AZ Primary

Addresses

Primary practice location

3470 E Route 66 Ste 101&103
Flagstaff, AZ 86004-4058

Mailing address

3223 N Webb Rd Ste 2
Wichita, KS 67226-8176
Phone (316) 260-3311

Other names 1

  • Andrea Malagon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814004791 AZ Practitioner - Physical Therapist in Private Practice 9638569171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3470 E Route 66
Suite 101
Flagstaff, AZ 86004-4059
Phone (928) 224-0747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-034141AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Basecamp Physical Therapy and Performance of Flagstaff LLC CurrentSince Jun 30, 2025 Accepting new patients

Locations

2619 S Woodlands Village Blvd
Ste 750
Flagstaff, AZ 86001
Phone (928) 224-0747

3470 E Route 66
Ste 101
Flagstaff, AZ 86004
Phone (928) 224-0747

3223 N Webb Rd
Ste 2
Wichita, KS 67226
Phone (316) 609-3040

Organizations & group practices 1

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": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1851055214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD STE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268176",
            "telephone_number": "316-260-3311",
            "fax_number": "316-260-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 E ROUTE 66 STE 101&103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044058",
            "telephone_number": "928-843-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MALAGON",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.