Individual provider Active NPI

Akeya Gosla

  • Physical Therapist
  • Laveen, AZ
National Provider Identifier
1972228658
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33361 Issued in AZ
Practice address
5215 W Baseline Rd Ste 101
Laveen, AZ 85339-2943
Phone
(623) 219-4600
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 33361 AZ Primary
Physical Therapist 225100000X 2305214923 VA
Physical Therapist 225100000X 25837 MA
Physical Therapist 225100000X 303586 CA
Physical Therapist 225100000X 5501020217 MI

Addresses

Primary practice location

5215 W Baseline Rd Ste 101
Laveen, AZ 85339-2943

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698
Phone (480) 937-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240405000543 WA Practitioner - Physical Therapist in Private Practice 0648618934 Reassigns benefits to 1 organization
I20250120000540 AZ Practitioner - Physical Therapist in Private Practice 0648618934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25837MAMDPharmacist
33361AZMDPhysical Therapist
303586CAMDPhysical Therapist
5501020217MIMDPhysical Therapist
2305214923VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Mar 14, 2024 Accepting new patients
Multicare Health System CurrentSince Mar 14, 2024 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Current Accepting new patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Jan 6, 2025 Accepting new patients

Locations

5215 W Baseline Rd
Ste 101
Laveen, AZ 85339
Phone (623) 219-4600

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

7727 40th St W
Ste A
University Place, WA 98466
Phone (253) 460-1362

Organizations & group practices 6

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1972228658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "480-937-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 W BASELINE RD STE 101",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392943",
            "telephone_number": "623-219-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSLA",
        "first_name": "AKEYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "33361",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214923",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25837",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303586",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.