Individual provider Active NPI

John J. Mauz, PT

  • Physical Therapist
  • Chino Valley, AZ
National Provider Identifier
1396809307
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1785 Issued in AZ
Practice address
411 W Road 1 N
Ste a
Chino Valley, AZ 86323-5943
Phone
(928) 636-8521
Fax
(928) 636-8591
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1785 AZ Primary

Addresses

Primary practice location

411 W Road 1 N
Ste a
Chino Valley, AZ 86323-5943

Mailing address

411 W Road 1 N
Ste a
Chino Valley, AZ 86323-5943
Phone (928) 636-8521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000257 AZ Practitioner - Physical Therapist in Private Practice 8527043801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott Madsen M.S.P.T. Rehabilitation, Inc.Group PAC ID 2567447626, 2 clinicians

Practice addresses (Care Compare)

2700 N Lake Valley Rd
Suite A1
Prescott Valley, AZ 86314-2668
Phone (928) 775-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1785AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Madsen M.S.P.T. Rehabilitation, Inc. Physical Therapist CurrentSince Jan 11, 2023 Accepting new patients
Advanced Care Physical Therapy PLLC PastSince Sep 27, 2004 Accepting new patients

Locations

2700 N Lake Valley Rd
Ste A1
Prescott Vly, AZ 86314
Phone (928) 775-9500

Organizations & group practices 2

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1396809307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W ROAD 1 N",
            "address_2": "STE A",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235943",
            "telephone_number": "928-636-8521",
            "fax_number": "928-636-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W ROAD 1 N",
            "address_2": "STE A",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235943",
            "telephone_number": "928-636-8521",
            "fax_number": "928-636-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUZ",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.