Individual provider Active NPI

Mitchell James Mulcahy

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1689394983
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-32617 Issued in AZ
Practice address
3342 E Greenway Rd Ste 105
Phoenix, AZ 85032-4540
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Aug 29, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X LPT-32617 AZ Primary

Addresses

Primary practice location

3342 E Greenway Rd Ste 105
Phoenix, AZ 85032-4540

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025002284 AZ Practitioner - Physical Therapist in Private Practice 4183090665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endurance Rehabilitation LLCGroup PAC ID 6103861687, 13 clinicians

Practice addresses (Care Compare)

4440 N 36TH St
Suite 240
Phoenix, AZ 85018-3592
Phone (602) 956-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-32617AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Endurance Rehabilitation LLC Physical Therapist CurrentSince Mar 13, 2024 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Oct 7, 2022 Accepting new patients
Endurance Rehabilitation LLC Physical Therapist CurrentSince Mar 13, 2024 Accepting new patients
Endurance Rehabilitation LLC Current Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Oct 19, 2023 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Oct 7, 2022 Accepting new patients

Locations

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

2902 W Agua Fria Fwy
Ste 1090
Phoenix, AZ 85027
Phone (620) 648-5444

3342 E Greenway Rd
Ste 105
Phoenix, AZ 85032

4440 N 36th St
Ste 240
Phoenix, AZ 85018
Phone (602) 956-4040

5355 E High St
Unit 113
Phoenix, AZ 85054

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

9219 E Hidden Spur Trl
Ste 100
Scottsdale, AZ 85255
Phone (602) 380-6807

9376 E Bahia Dr
Ste 103
Scottsdale, AZ 85260
Phone (480) 556-8406

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1689394983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3342 E GREENWAY RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324540",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULCAHY",
        "first_name": "MITCHELL",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32617",
            "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 Oct 10, 2022; 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.