Individual provider Active NPI

Chandrika Lotwala, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1871590174
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1275 Issued in AZ
Practice address
2122 E Highland Ave
Suite 200
Phoenix, AZ 85016-4739
Phone
(602) 778-0900
Fax
(602) 778-6606
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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 1275 AZ Primary

Addresses

Primary practice location

2122 E Highland Ave
Suite 200
Phoenix, AZ 85016-4739

Mailing address

10324 N 62ND Dr
Glendale, AZ 85302-1231
Phone (623) 979-0066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000721 AZ Practitioner - Physical Therapist in Private Practice 7113919929 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1275AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physical Therapy, Inc. CurrentSince Jan 2, 2023 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Apr 25, 2024 Accepting new patients
Institute for Bone & Joint Disorders PC Past Accepting new patients
Institute for Bone and Joint Disorders PC PastSince Jun 24, 2004 Accepting new patients

Locations

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

20815 N 25th Pl
Ste 100
Phoenix, AZ 85050
Phone (602) 374-2760

Organizations & group practices 4

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1871590174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 N 62ND DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021231",
            "telephone_number": "623-979-0066",
            "fax_number": "623-979-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 E HIGHLAND AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164739",
            "telephone_number": "602-778-0900",
            "fax_number": "602-778-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTWALA",
        "first_name": "CHANDRIKA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.