Michael Terence Donohue, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30684 Issued in AZ

Practice address

906 W University Ave Ste 120
Flagstaff, AZ 86001-7115

Phone

(928) 556-9935

Fax

(928) 774-4277

NPI assigned

May 21, 2015

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

North Carolina Medical School, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Basecamp Physical Therapy and Performance of Flagstaff LLCGroup PAC ID 1759738453, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Basecamp Physical Therapy and Performance of Flagstaff LLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
  • NPI 1033994736
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1154700342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W UNIVERSITY AVE STE 120",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017115",
            "telephone_number": "928-556-9935",
            "fax_number": "928-774-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W UNIVERSITY AVE STE 120",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017115",
            "telephone_number": "928-556-9935",
            "fax_number": "928-774-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "MICHAEL",
        "middle_name": "TERENCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61039",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Jean Donaldson, AU.D.
• Janis Doneski-Nicol, M.S., CCC-SLP, ATP
• Kira Donnelly, PT
• Margaret Hildebrand Donnelly, MD
• Mark E Donnelly, M.D.
• Shannon Dooley
• Sherry Dooley, CCC-SLP
• Melanie Dorn, PHARMD
• Justin Daniel Doroshenko, DO
• Michelle Doroz, DO

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, 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 19, 2022; 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.