Michael Adam King, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11446 Issued in AZ

Practice address

21391 N Lake Pleasant Pkwy
Ste 1810
Peoria, AZ 85382-2000

Phone

(602) 795-8441

Fax

(602) 795-8447

NPI assigned

Jul 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Edge Physical Therapy LLCGroup PAC ID 6901168400, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Desert Edge Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1710487707
  Medicare reassignment Care Compare group NPD Authorized official
• Ati Holdings of Arizona, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1871570309
  Medicare reassignment
• Excel Rehab Therapy LLC

  • Physical Therapist
  • Draper, UT
  • NPI 1477877744
  NPD (past)

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1063675304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21391 N LAKE PLEASANT PKWY",
            "address_2": "STE 1810",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822000",
            "telephone_number": "623-398-8072",
            "fax_number": "623-398-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21391 N LAKE PLEASANT PKWY",
            "address_2": "STE 1810",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822000",
            "telephone_number": "602-795-8441",
            "fax_number": "602-795-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MICHAEL",
        "middle_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "70303922401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alesha Ann Kimbrell, MS, BCBA, LBA
• Kind Caregivers at Home
• Kind Hearts Care Services LLC
• Jana Dee King, FNP-C
• Kelsie King
• Kingsley Healthcare and Social Services LLC
• Kingsway Health Services LLC
• Norman Heath Kington
• Krishna Kirby, FNP-C
• Honora Marie Kircher, LPC

• Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.