Active NPI
Michael J Sorensen, M.D.
- Physical Medicine & Rehabilitation Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 60457
- Practice address
- 1223 Willow Creek Rd
Prescott, AZ 86301-1427 - Phone
- (928) 777-9950
- Fax
- (928) 777-9975
- NPI assigned
- May 23, 2005
- Last updated
- Jun 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 60457 | AZ | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 60457 | AZ | Primary |
Addresses
Primary practice location
1223 Willow Creek Rd
Prescott, AZ 86301-1427
Mailing address
1223 Willow Creek Rd
Prescott, AZ 86301-1427
Phone (928) 777-9950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60457 | AZ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group, PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600
6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347
6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
Ste 200
Memphis, TN 38120
Phone (901) 259-1600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OrthoSouth
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1376541409
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1396748331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011427",
"telephone_number": "928-777-9950",
"fax_number": "928-777-9975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011427",
"telephone_number": "928-777-9950",
"fax_number": "928-777-9975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "AZ",
"license": "60457",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "60457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Solaris Hospice Az, Inc.
- Stacie E Solo, RN
- Laura Solorzano
- Sonora Quest Laboratories LLC (Sonora Quest Laboratories)
- Sonora Quest Laboratories LLC
- Dustin Sorkhpoosh, DO
- Southwest Behavioral Health Services, Inc.
- Southwest Center for Communication Disorders
- Southwest Skin & Cancer Institute
- Southwest Skin & Cancer Institute LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.