Active NPI
Michael Charles Dubois, PT
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1598755381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- RPT1571
- Practice address
- 6206 E Pima St
Suite 3
Tucson, AZ 85712-7000 - Phone
- (520) 733-6227
- Fax
- (520) 733-7328
- NPI assigned
- Oct 24, 2005
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | RPT1571 | AZ | Primary |
Addresses
Primary practice location
6206 E Pima St
Suite 3
Tucson, AZ 85712-7000
Mailing address
6206 E Pima St
Suite 3
Tucson, AZ 85712-7000
Phone (520) 733-6227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0460450 | Other | AZ | BCBS |
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, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4830 Hwy 260 105
Lakeside, AZ 85929-5851
Phone (928) 532-1221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPT1571 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Mountain Physical Therapy LTD | Physical Therapist | Current | Accepting new patients |
Locations
4830 Highway 260
Ste 105
Lakeside, AZ 85929
Phone (928) 532-1221
Organizations & group practices 3
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.
-
- Physical Therapist
- Show Low, AZ
- NPI 1750385654
-
- Physical Therapist
- Tucson, AZ
- NPI 1326038118
-
- Orthopedic Physical Therapist
- Tucson, AZ
- NPI 1467779967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598755381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 E PIMA ST",
"address_2": "SUITE 3",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857127000",
"telephone_number": "520-733-6227",
"fax_number": "520-733-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6206 E PIMA ST",
"address_2": "SUITE 3",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857127000",
"telephone_number": "520-733-6227",
"fax_number": "520-733-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "MICHAEL",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "RPT1571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0460450",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.