Mobile Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOBILE PHYSICAL THERAPY PLLC

Practice address

112 N Elden St
Flagstaff, AZ 86001-5295

Phone

(928) 421-3581

NPI assigned

Mar 26, 2020

Last updated

May 11, 2022By 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

Jamie Ornelas, DPTNPI 1205283173

Title

Owner, Physical Therapist

Phone

(928) 421-3581

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jamie Michelle Ornelas, PT, DPT

  • Physical Therapist
  • Bellemont, AZ
  • NPI 1205283173
  NPD Authorized official

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1770110801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30212",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860030212",
            "telephone_number": "928-421-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N ELDEN ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015295",
            "telephone_number": "928-421-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "ORNELAS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-421-3581",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Miner, PA
• Kimberly Shumway Miner, MSW
• Joan C Mitrius, M.D.
• Eugene Richard Moan, ED.D.
• Mobile Anesthesia Providers
• Jordan Brook Mockta, ACSM-EP
• Kristen Moehrle, LPC
• John Phillip Moeser, PA-C
• Darius Mirza Moezzi, M.D.
• Neal W Mogk, MD

• Physical Therapy Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.