Prescott Mobile Physical Therapy and Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRESCOTT MOBILE PHYSICAL THERAPY AND WELLNESS LLC

Practice address

6421 E Marley Ave
Prescott Valley, AZ 86314-3871

Phone

(602) 614-2801

NPI assigned

May 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew Fletcher, PTNPI 1487296042

Title

Physical Therapist

Phone

(602) 614-2801

Specialties & licenses 1

Addresses

Other names 1

• Prescott Mobile Physical Therapy and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Fletcher

  • Physical Therapist
  • Prescott Valley, AZ
  • NPI 1487296042
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1023683182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 E MARLEY AVE",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143871",
            "telephone_number": "602-614-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 E MARLEY AVE",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143871",
            "telephone_number": "602-614-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT MOBILE PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-09-02",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "602-614-2801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Mobile Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayden Verl Poulson, DPM
• Anna Dusteen Powers, SLP-A
• Prairie View Creations LLC
• Beatrice H Preciado, OTRL
• Premier Foot and Ankle, L.L.C.
• Prescott Quick Care LLC
• Prescott Valley Accident Chiropractic Inc
• Prescott Valley Charter School
• Prescott Valley Chiropractic LLC
• Prescott Valley Dental Group, LLP

• Physical Therapy Clinic/Center in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.