Individual provider Active NPI

Mark Winchell, PT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1265209027
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-033408 Issued in AZ
Practice address
1500 S Dobson Rd Ste 201
Mesa, AZ 85202-4724
Phone
(866) 974-2673
NPI assigned
Dec 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X LPT-033408 AZ Primary

Addresses

Primary practice location

1500 S Dobson Rd Ste 201
Mesa, AZ 85202-4724

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (623) 474-3431

Other practice location 1

3591 S Mercy Rd Ste 204
Gilbert, AZ 85297-2240
Phone (866) 974-2673

Other practice location 2

14520 W Granite Valley Dr Ste 110
Sun City West, AZ 85375-5855
Phone (866) 974-2673

Other practice location 3

10494 W Thunderbird Blvd Ste 102
Sun City, AZ 85351-6122
Phone (866) 974-2673

Other practice location 4

18444 N 25th Ave Ste 220
Phoenix, AZ 85023-1264
Phone (866) 974-2673

Other practice location 5

13995 W Statler Blvd Ste 165
Surprise, AZ 85374-5517
Phone (866) 974-2673

Other practice location 6

9321 W Thomas Rd Ste 305
Phoenix, AZ 85037-3395
Phone (866) 974-2673

Other identifiers 1

IdentifierTypeStateIssuer
209448MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129001930 AZ Practitioner - Physical Therapist in Private Practice 2466805270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Physical Therapy IncGroup PAC ID 5698848125, 2 clinicians

Practice addresses (Care Compare)

4110 N 108TH Ave
Suite 103
Phoenix, AZ 85037-5772
Phone (623) 877-9915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Physical Therapy Inc Physical Therapist CurrentSince Jan 3, 2025 Accepting new patients
Center for Orthopedic Research and Education, LLC Physical Therapist CurrentSince Dec 17, 2023 Accepting new patients
Center for Orthopedic Research and Educatoin Physical Therapist CurrentSince Jan 14, 2024 Accepting new patients
Center for Orthopedic Research and Education LLC CurrentSince Jan 14, 2024 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Feb 18, 2025 Accepting new patients

Locations

3591 S Mercy Rd
Ste 204
Gilbert, AZ 85297
Phone (869) 742-6736

1500 S Dobson Rd
Ste 201
Mesa, AZ 85202
Phone (623) 537-5661

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

9321 W Thomas Rd
Ste 305
Phoenix, AZ 85037

18444 N 25th Ave
Ste 220
Phoenix, AZ 85023
Phone (669) 742-6738

4110 N 108th Ave
Ste 103
Phoenix, AZ 85037
Phone (623) 877-9915

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

13995 W Statler Blvd
Ste 165
Surprise, AZ 85374
Phone (623) 537-5661

Interoperability endpoints

  • Direct secure messaging: mark.winchell.1@22724.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": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1265209027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "623-474-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024724",
            "telephone_number": "866-974-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3591 S Mercy Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852972240",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "869-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14520 W Granite Valley Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755855",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10494 W Thunderbird Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853516122",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18444 N 25th Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850231264",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13995 W Statler Blvd Ste 165",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853745517",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9321 W Thomas Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373395",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINCHELL",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209448",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

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