James Mikrut, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6486 Issued in AZ

Practice address

919 12TH PL Ste 11
Prescott, AZ 86305-1433

Phone

(928) 632-0800

Fax

(928) 632-8505

NPI assigned

May 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.58 of 100Reported as individual

Quality

85

Improvement activities

40

Cost

85.26

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mikrut Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Prescott, AZ
  • NPI 1649223306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1346293248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13175 E HIGHWAY 169",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863277372",
            "telephone_number": "928-632-0800",
            "fax_number": "928-632-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 12TH PL STE 11",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051433",
            "telephone_number": "928-632-0800",
            "fax_number": "928-632-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKRUT",
        "first_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005426",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915936",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey Michels, PA-C
• James M Mick, MD
• Erin Leah Mickelson
• Nissa Mikkelsen
• Mikrut Physical Therapy LLC
• Jean Ann Mikrut, REGISTERED DIETITIAN
• Mary Jane Milbyer, R.D.H.
• Jerad Martel Miles, RD
• Starla Jo Miles, LMSW
• Royce Darrin Milgrim, D.M.D.

• Physical Therapist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.