Individual provider Active NPI

Brenda Mahlum, PT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1164591046
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT432 Issued in MT
Practice address
7960 E Thompson Peak Pkwy Ste 102
Scottsdale, AZ 85255-7406
Phone
(602) 313-4710
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 PT432 MT Primary

Addresses

Primary practice location

7960 E Thompson Peak Pkwy Ste 102
Scottsdale, AZ 85255-7406

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

945 Wyoming St Unit 135
Missoula, MT 59801-2057
Phone (406) 544-6090

Other identifiers 1

IdentifierTypeStateIssuer
1164591046MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041020000472 MT Practitioner - Physical Therapist in Private Practice 7911808555 Reassigns benefits to 1 organization
I20251014001740 AZ Practitioner - Physical Therapist in Private Practice 7911808555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manual Orthopedic and Sports TherapyGroup PAC ID 9133282965, 4 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

576 Spokane Ave
Whitefish, MT 59937-2781
Phone (406) 862-2348

7960 E Thompson Peak Pkwy
Suite 102
Scottsdale, AZ 85255-7406
Phone (480) 256-1422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT432MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Hamilton Physical Therapy PC Physical Therapist CurrentSince Aug 24, 2015 Accepting new patients
Manual Orthopedic & Sports Therapy CurrentSince Nov 1, 2022 Accepting new patients
Fill-in Interim Therapy Services, PLLC Physical Therapist PastSince Jul 2, 2015 Accepting new patients
Peak Performance Physical Therapy PC Physical Therapist PastSince Jul 19, 1996 Accepting new patients

Locations

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

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

7960 E Thompson Peak Pkwy
Ste 102
Scottsdale, AZ 85255
Phone (480) 256-1422

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

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

16400 Frenchtown Frontage Rd
Frenchtown, MT 59834
Phone (406) 626-0026

576 Spokane Ave
Whitefish, MT 59937
Phone (406) 261-5840

Interoperability endpoints

  • Direct secure messaging: brenda.mahlum.1@15204.direct.athenahealth.com

Organizations & group practices 5

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1164591046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 E THOMPSON PEAK PKWY STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557406",
            "telephone_number": "602-313-4710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Wyoming St Unit 135",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598012057",
            "country_code": "US",
            "telephone_number": "406-544-6090",
            "fax_number": "800-886-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHLUM",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PT432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164591046",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.