White Mountain Physical Therapy LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WHITE MOUNTAIN PHYSICAL THERAPY LTD

Practice address

29 W McNeil
Show Low, AZ 85901-5838

Phone

(928) 537-8196

Fax

(928) 532-8860

NPI assigned

Jun 8, 2005

Last updated

Apr 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Lynn Johnson, P.T.NPI 1871525725

Title

Co-Owner

Phone

(928) 537-8196

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 24

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.

• Michael L Johnson, P.T.

  • Physical Therapist
  • Show Low, AZ
  • NPI 1871525725
  Medicare reassignment Care Compare group NPD Authorized official
• Eric Cox

  • Physical Therapist
  • Lakeside, AZ
  • NPI 1275565160
  Medicare reassignment Care Compare group NPD
• Michael Charles Dubois, PT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1598755381
  Medicare reassignment Care Compare group NPD
• Derek R Flake, PT

  • Physical Therapist
  • Lakeside, AZ
  • NPI 1104154269
  Medicare reassignment Care Compare group NPD
• Lois Louise Goode, MS, PT, OCS, ATC

  • Specialist
  • Whiteriver, AZ
  • NPI 1669511101

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• John Hancock, OT

  • Occupational Therapist
  • Taylor, AZ
  • NPI 1669244810
  Medicare reassignment Care Compare group NPD
• Mary Katherine Hegarty, PT

  • Physical Therapist
  • Lakeside, AZ
  • NPI 1215425202
  Medicare reassignment Care Compare group NPD
• Kyle Douglas Howell, D.P.T

  • Physical Therapist
  • Lakeside, AZ
  • NPI 1497494918
  Medicare reassignment Care Compare group NPD
• Mary Jo Oechslin

  • Physical Therapist
  • Glendale, AZ
  • NPI 1124170618
  Medicare reassignment Care Compare group NPD
• Russel Peterson

  • Physical Therapist
  • Snowflake, AZ
  • NPI 1063444933
  Medicare reassignment Care Compare group NPD
• Jessica Lynn Rudolph, PT

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1679669220
  Medicare reassignment Care Compare group NPD
• Makenzie Vanwinkle, OT

  • Occupational Therapist
  • Gilbert, AZ
  • NPI 1376158618
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1750385654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1420",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859021420",
            "telephone_number": "928-537-8196",
            "fax_number": "928-532-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W MCNEIL",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015838",
            "telephone_number": "928-537-8196",
            "fax_number": "928-532-8860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2935 State Route 260 Ste 6A",
            "address_purpose": "LOCATION",
            "city": "Overgaard",
            "state": "AZ",
            "postal_code": "859335389",
            "country_code": "US",
            "telephone_number": "928-535-9096",
            "fax_number": "928-535-9097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "AZ",
            "postal_code": "859392486",
            "country_code": "US",
            "telephone_number": "928-536-9933",
            "fax_number": "928-536-9935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4830 Highway 260 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lakeside",
            "state": "AZ",
            "postal_code": "859295851",
            "country_code": "US",
            "telephone_number": "928-532-1221",
            "fax_number": "928-532-1227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 E Main St Unit 210",
            "address_purpose": "LOCATION",
            "city": "Springerville",
            "state": "AZ",
            "postal_code": "859385354",
            "country_code": "US",
            "telephone_number": "928-532-8999",
            "fax_number": "928-532-1226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 S Main St",
            "address_purpose": "LOCATION",
            "city": "Snowflake",
            "state": "AZ",
            "postal_code": "859375246",
            "country_code": "US",
            "telephone_number": "928-536-2357",
            "fax_number": "928-536-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHITE MOUNTAIN PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "928-537-8196",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Mountain Counseling
• White Mountain Emergency Physicians, PC
• White Mountain Endodontics PLLC
• White Mountain Meals on Wheels
• White Mountain Pain Associates PC
• White Mountain Radiology
• White Mountain Surgical Specialist
• White Mountain Surgical Specialists PC
• White Mountain Surgical Specialists PC
• Jacqueline Nicole Whiting, MS LASAC

• Physical Therapist in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.