Individual provider Active NPI

Lauren I. Mims, P.T.

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1104028372
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-013368 Issued in AZ
Practice address
690 S Cooper Rd Ste 101
Gilbert, AZ 85233-5900
Phone
(480) 503-2100
Fax
(480) 503-2131
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22238 FL
Physical Therapist 225100000X LPT-013368 AZ Primary
Physical Medicine & Rehabilitation Physician 208100000X LPT-013368 AZ

Addresses

Primary practice location

690 S Cooper Rd Ste 101
Gilbert, AZ 85233-5900

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204000643 AZ Practitioner - Physical Therapist in Private Practice 6002209582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
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)

690 S Cooper Rd
Suite 101
Gilbert, AZ 85233-5900
Phone (480) 503-2100

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

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
LPT-013368AZMDPhysical Medicine & Rehabilitation Physician
22238FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients

Locations

1729 N Dysart Rd
Ste 103
Avondale, AZ 85392
Phone (623) 295-3630

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

690 S Cooper Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 503-2100

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

5911 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (480) 281-6103

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

20784 E Victoria Ln
Ste 104
Queen Creek, AZ 85142
Phone (480) 877-7960

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

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lauren.mims.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1104028372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S COOPER RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335900",
            "telephone_number": "480-503-2100",
            "fax_number": "480-503-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "LAUREN",
        "middle_name": "I.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22238",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-013368",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "LPT-013368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.