Michai Phonthibsvads, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT44613 Issued in FL

Practice address

4022 E Greenway Rd Ste 1
Phoenix, AZ 85032-4798

Phone

(480) 719-1644

NPI assigned

Nov 25, 2024

Sex

Male

Sole proprietor

Yes

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ati Holdings of Arizona LLC 223 clinicians

360 Physical Therapy LLC 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (4 of 5)

Locations

Networks

• Optimum HealthCare HMO Network

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.

• 360 Physical Therapy, LLC

  • Specialist
  • Scottsdale, AZ
  • NPI 1932430949

  AZ

  Medicare reassignment Care Compare group NPD
• Ati Holdings of Arizona, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1871570309

  AZ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• 360 Physical Therapy LLC

  • Physical Therapist
  • Queen Creek, AZ
  • NPI 1689115164
  NPD
• 360 Physical Therapy, LLC

  • Specialist
  • Fountain Hills, AZ
  • NPI 1811153992
  NPD (past)

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1245056134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 E GREENWAY RD STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 E GREENWAY RD STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324798",
            "telephone_number": "480-719-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHONTHIBSVADS",
        "first_name": "MICHAI",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-25",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44613",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "033915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Wellness and Rejuvenation LLC
• Phoenix Wellness Center
• Phoenix Wellness Center LLC
• Phoenix West Dental Partners LLC
• Phoenix West Internal Medicine LLC
• Samantha May Phou, MD
• Jacob Phouthavong-Murphy, DO
• Chia-Ling Phuah, MD
• Ellen Catherine Phungrasamee, RN
• Doan Phuong, PHARM D.

• All providers in Phoenix, AZ
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.