Individual provider Active NPI

Mark Evan Winkelman, PT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1003845686
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5804 Issued in AZ
Practice address
3124 N Swan Rd
Tucson, AZ 85712-1227
Phone
(520) 325-4002
Fax
(520) 325-4227
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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 5804 AZ Primary

Addresses

Primary practice location

3124 N Swan Rd
Tucson, AZ 85712-1227

Mailing address

3124 N Swan Rd
Tucson, AZ 85712-1227
Phone (520) 325-4002

Other identifiers 1

IdentifierTypeStateIssuer
824517MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224001072 AZ Practitioner - Physical Therapist in Private Practice 4385530617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

5956 E Pima St
Suite 100
Tucson, AZ 85712-4375
Phone (520) 885-4636

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5804AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodycentral Physical Therapy P C CurrentSince Dec 1, 2003 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Bodycentral Physical Therapy PC PastSince Dec 1, 2003 Accepting new patients

Locations

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

5956 E Pima St
Tucson, AZ 85712
Phone (520) 296-8171

8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430

5880 N La Cholla Blvd
Ste 120
Tucson, AZ 85741
Phone (520) 575-8757

3124 N Swan Rd
Tucson, AZ 85712
Phone (520) 276-1274

5956 E Pima St
Ste 100
Tucson, AZ 85712
Phone (520) 855-4636

1991 E Ajo Way
Ste 149
Tucson, AZ 85713
Phone (520) 485-5454

6970 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 219-5825

7545 S Houghton Rd
Ste 123
Tucson, AZ 85747
Phone (520) 574-0200

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

Interoperability endpoints

  • Direct secure messaging: mark.winkelman.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1003845686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121227",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121227",
            "telephone_number": "520-325-4002",
            "fax_number": "520-325-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKELMAN",
        "first_name": "MARK",
        "middle_name": "EVAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "824517",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.