Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Bosak, PT, DPT

Individual provider Physical Therapist · NPI 1851046114

Andrew Bosak, PT, DPT is a Physical Therapist in Private Practice in Maricopa, Arizona. Qualified in 2021, 5 years ago. Practices with 360 Physical Therapy LLC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17430 N Porter Rd Ste 110
Maricopa, AZ 85138-4790
Phone: (520) 208-2033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1828 E Florence Blvd Ste 102, Casa Grande, AZ 85122-4783 — (520) 510-0360

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-32230 (AZ)

Record details

NPI number1851046114
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 15, 2022
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice 360 Physical Therapy Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maricopa