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

Andrew Proctor, DPT

Individual provider Physical Therapist · NPI 1083384069

Andrew Proctor, DPT is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2021, 5 years ago. Practices with Canyon Sports Therapy Inc, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2835 E Brown Rd Ste 101
Mesa, AZ 85213-5470
Phone: (480) 807-6644
Fax: (480) 324-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1083384069
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 20, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 20, 2021
Mailing address15410 S Mountain Pkwy Ste 112, Phoenix, AZ 85044-6691

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 Canyon Sports Therapy Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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