Organization Active NPI

Mustard Seeds Therapies Az LLC

  • Occupational Therapist
  • Bullhead City, AZ
National Provider Identifier
1447114392
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MUSTARD SEEDS THERAPIES AZ LLC
Practice address
1225 Hancock Rd Ste 200C
Bullhead City, AZ 86442-5962
Phone
(786) 746-9079
NPI assigned
Dec 15, 2025
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Thomas Bowen, COTA/L
Title
Owner
Phone
(786) 746-9079

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1225 Hancock Rd Ste 200C
Bullhead City, AZ 86442-5962

Mailing address

9898 Scottish Glen CT
Las Vegas, NV 89178-3854

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260408003126 AZ Part B Supplier - Clinic/Group Practice 4284109109 Receives reassigned benefits from 4 practitioners
Practice locations: Bullhead City, AZ

National Provider Directory

National Provider Directory

Locations

1225 Hancock Rd
Ste 200C
Bullhead City, AZ 86442
Phone (786) 746-9079

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1447114392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 SCOTTISH GLEN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891783854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD STE 200C",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425962",
            "telephone_number": "786-746-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARD SEEDS THERAPIES AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-746-9079",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.