Active NPI
Michael John Mulhaney, DPT
- Physical Therapist
- Yuma, AZ
National Provider Identifier
1295228443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1951 W 25TH St Ste C
Yuma, AZ 85364-6924 - Phone
- (928) 726-7900
- Fax
- (928) 726-7901
- NPI assigned
- Jun 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1951 W 25TH St Ste C
Yuma, AZ 85364-6924
Mailing address
4204 Tannery Rd
Two Rivers, WI 54241-1160
Phone (920) 860-2966
Other practice location 1
11509 S Fortuna Rd
Yuma, AZ 85367-7857
Phone (928) 342-8767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Rehabilitation Network Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Yuma, AZ
- NPI 1427275015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1295228443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 TANNERY RD",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "542411160",
"telephone_number": "920-860-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 W 25TH ST STE C",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646924",
"telephone_number": "928-726-7900",
"fax_number": "928-726-7901"
}
],
"practiceLocations": [
{
"address_1": "11509 S Fortuna Rd",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853677857",
"country_code": "US",
"telephone_number": "928-342-8767",
"fax_number": "928-342-7072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULHANEY",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.