Active NPI
Mustard Seeds Therapies Az LLC
- Occupational Therapist
- Bullhead City, AZ
National Provider Identifier
1447114392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.