Active NPI
Mitchell James Bruning, PT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3369
- Practice address
- 4141 E Thomas Rd
Phoenix, AZ 85018-7515 - Phone
- (602) 954-7742
- Fax
- (602) 955-2229
- NPI assigned
- Jan 15, 2007
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 3369 | AZ | |
| Physical Therapist | 225100000X | 3369 | AZ | Primary |
Addresses
Primary practice location
4141 E Thomas Rd
Phoenix, AZ 85018-7515
Mailing address
PO Box 15858
Phoenix, AZ 85060-5858
Phone (602) 954-7742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1331 E Chandler Blvd
Suite 102/ 103
Phoenix, AZ 85048-6274
Phone (480) 371-1555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3369 | AZ | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Pritchette Physical Therapy | Current | Accepting new patients | |
| Rehab Plus Sports Conditioning, LLC | Orthopedic | Past | Accepting new patients |
Locations
1301 W University Ave
Flagstaff, AZ 86001
Phone (928) 556-8607
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211
2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456
4730 E Warner Rd
Ste 5
Phoenix, AZ 85044
Phone (480) 785-5415
1331 E Chandler Blvd
Ste 102
Phoenix, AZ 85048
Phone (480) 371-1555
4141 E Thomas Rd
Phoenix, AZ 85018
Phone (602) 954-7742
4232 E Chandler Blvd
Ste 24
Phoenix, AZ 85048
Phone (602) 362-3701
4200 E Camelback Rd
Ste 103
Phoenix, AZ 85018
Phone (602) 858-3307
1661 E Camelback Rd
Ste 152
Phoenix, AZ 85016
Phone (602) 955-8885
2830 N 42nd St
Phoenix, AZ 85008
Phone (602) 954-7742
9377 E Bell Rd
Ste 349
Scottsdale, AZ 85260
Phone (602) 313-1549
6380 E Grant Rd
Ste 100
Tucson, AZ 85715
Phone (520) 420-1150
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1912144072
-
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1598383705
-
- Orthopedic Physical Therapist
- Phoenix, AZ
- NPI 1912207960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1508917683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15858",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850605858",
"telephone_number": "602-954-7742",
"fax_number": "602-955-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850187515",
"telephone_number": "602-954-7742",
"fax_number": "602-955-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNING",
"first_name": "MITCHELL",
"middle_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AZ",
"license": "3369",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.