Individual provider Active NPI

Mandy Sellers Aldous, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1972556421
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6519 Issued in AZ
Practice address
3592 S Atherton Blvd Ste. 110
Gilbert, AZ 85297-7444
Phone
(480) 840-6777
Fax
(480) 840-6778
NPI assigned
May 18, 2006
Last updated
Nov 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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 6519 AZ Primary

Addresses

Primary practice location

3592 S Atherton Blvd Ste. 110
Gilbert, AZ 85297-7444

Mailing address

4463 E Carriage Way
Gilbert, AZ 85297-5507
Phone (480) 459-5364

Other identifiers 1

IdentifierTypeStateIssuer
243623MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000641 AZ Practitioner - Physical Therapist in Private Practice 2163459496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3592 S Atherton Blvd
Suite 110
Gilbert, AZ 85297-7444
Phone (480) 840-6777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6519AZMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, PC Physical Therapist CurrentSince Dec 20, 2013 Accepting new patients
Diamondback Physical Therapy Physical Therapist Past Accepting new patients
Work Physical Therapy PLC PastSince Dec 1, 2008 Accepting new patients

Locations

3592 S Atherton Blvd
Ste 110
Gilbert, AZ 85297
Phone (480) 840-6777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1972556421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 E CARRIAGE WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975507",
            "telephone_number": "480-459-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD STE. 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977444",
            "telephone_number": "480-840-6777",
            "fax_number": "480-840-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDOUS",
        "first_name": "MANDY",
        "middle_name": "SELLERS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243623",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.