Mykal Duncan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0169A Issued in AZ

Practice address

2585 S Miracle Mile
Ste. 107
Bullhead City, AZ 86442-7522

Phone

(928) 444-8168

Fax

(928) 444-8169

NPI assigned

Mar 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1801119185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 S MIRACLE MILE",
            "address_2": "STE. 107",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427522",
            "telephone_number": "928-444-8168",
            "fax_number": "928-444-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 S MIRACLE MILE",
            "address_2": "STE. 107",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427522",
            "telephone_number": "928-444-8168",
            "fax_number": "928-444-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MYKAL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "0169A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Alvey Dorsey
• Dr Richard Wolf Compassionate Cardiology LLC
• Gailand Ruth Drawhorn, PH.D., DMIN., MED.
• Josiah B Drawhorn, PH.D., N.D., TH.D.
• Jacqueline Celina Drummond-Lewis, MD
• Maria Dunn
• Edgewood Bullhead City Az01 LLC
• Entx Solutions LLC
• Euthymia, Inc.
• Scott Edward Ewing, FNP-BC

• Physical Therapy Assistant in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.