Agestrong Mirabella Asu - Medicare in Tempe, AZ

  1. Home
Agestrong Mirabella Asu is a medicare enrolled "Clinic/center - Rehabilitation" provider in Tempe, Arizona. Their current practice location is 65 E University Dr, Tempe, Arizona. You can reach out to their office (for appointments etc.) via phone at (971) 206-5200.

Agestrong Mirabella Asu is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Agestrong Mirabella Asu is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1407523657.

Contact Information

Agestrong Mirabella Asu
65 E University Dr,
Tempe, AZ 85281-1091
(971) 206-5200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAgestrong Mirabella Asu
TypeFacility
SpecialityClinic/center - Rehabilitation
Location65 E University Dr, Tempe, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407523657
  • Provider Enumeration Date: 08/25/2021
  • Last Update Date: 02/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507254497
  • Enrollment ID: O20211206001530

Medical Identifiers

Medical identifiers for Agestrong Mirabella Asu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407523657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
261QR0400XClinic/center - Rehabilitation (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Agestrong Mirabella Asu acts as a billing entity for following providers:
Provider NameLindsey G Deyoung
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013349224
PECOS PAC ID: 6608004098
Enrollment ID: I20140109001552
Provider NameCori A Misner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982183307
PECOS PAC ID: 7517217656
Enrollment ID: I20180911001098
Provider NamePatrick Podrazik
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1497936348
PECOS PAC ID: 3870983836
Enrollment ID: I20211206001747
Provider NameKayla Renee Moroney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356935357
PECOS PAC ID: 3971993940
Enrollment ID: I20211206002123
Provider NameAnnalyce Manka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669191953
PECOS PAC ID: 4183008394
Enrollment ID: I20220907000460
Provider NameShweta Subramani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417400383
PECOS PAC ID: 8729414545
Enrollment ID: I20220927001250
Provider NameJeanette Bustamante
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134883259
PECOS PAC ID: 3577949809
Enrollment ID: I20221010002639
Provider NameJacqueline Faith Conway
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1124736194
PECOS PAC ID: 5496123515
Enrollment ID: I20221122000413
Provider NameEmmah Spahr
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1831832898
PECOS PAC ID: 9234500133
Enrollment ID: I20230131001806
Provider NameXianhao Peng
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932683893
PECOS PAC ID: 0648642389
Enrollment ID: I20230207001279
Provider NameJolene Knee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780126227
PECOS PAC ID: 8325407513
Enrollment ID: I20230706002026
Provider NameJulianne Bird
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134371842
PECOS PAC ID: 8527427392
Enrollment ID: I20230711004074
Provider NameSoliz Perez-rivera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457901407
PECOS PAC ID: 6204291446
Enrollment ID: I20231003001596
Provider NameBrianna Buckner
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1932768892
PECOS PAC ID: 6103271663
Enrollment ID: I20231018002924
Provider NameDhanvi Amin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1245754142
PECOS PAC ID: 1052763125
Enrollment ID: I20240115001108

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Agestrong Mirabella Asu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Agestrong Mirabella Asu
4560 Se International Way Ste 100,
Milwaukie, OR 97222-4628

Ph: (971) 206-5200		Agestrong Mirabella Asu
65 E University Dr,
Tempe, AZ 85281-1091

Ph: (971) 206-5200

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.