Individual provider Active NPI

Michael David Heywood

  • Physical Therapist
  • Queen Creek, AZ
National Provider Identifier
1790239226
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12454PT Issued in AZ
Practice address
18530 E San Tan Blvd Ste 109
Queen Creek, AZ 85142-2201
Phone
(480) 677-8202
Fax
(480) 677-8203
NPI assigned
Aug 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12454PT AZ Primary

Addresses

Primary practice location

18530 E San Tan Blvd Ste 109
Queen Creek, AZ 85142-2201

Mailing address

18530 E San Tan Blvd Ste 109
Queen Creek, AZ 85142-2201
Phone (480) 677-8202

Other practice location 1

7257 S Atwood Ste 110
Mesa, AZ 85212-5510
Phone (480) 571-7282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161014000100 AZ Practitioner - Physical Therapist in Private Practice 2264720846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dash Physical Therapy LLCGroup PAC ID 7113277864, 3 clinicians

Practice addresses (Care Compare)

18530 E San Tan Blvd
Suite 109
Queen Creek, AZ 85142-2201
Phone (480) 677-8202

7257 S Atwood
Suite 110
Mesa, AZ 85212-5510
Phone (480) 571-7282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12454PTAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dash Physical Therapy LLC Physical Therapist CurrentSince May 24, 2018 Accepting new patients
Flex Spine and Sport Physical Therapy LLC CurrentSince Sep 15, 2025 Accepting new patients

Locations

7257 S Atwood
Ste 110
Mesa, AZ 85212
Phone (480) 571-7282

18530 E San Tan Blvd
Ste 109
Queen Creek, AZ 85142
Phone (480) 677-8202

18540 E San Tan Blvd
Ste 101
Queen Creek, AZ 85142
Phone (480) 677-8202

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1790239226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18530 E SAN TAN BLVD STE 109",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422201",
            "telephone_number": "480-677-8202",
            "fax_number": "480-677-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18530 E SAN TAN BLVD STE 109",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422201",
            "telephone_number": "480-677-8202",
            "fax_number": "480-677-8203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7257 S Atwood Ste 110",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852125510",
            "country_code": "US",
            "telephone_number": "480-571-7282",
            "fax_number": "480-852-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEYWOOD",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12454PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.