Active NPI
Mitchell Piddisi, DPT
- Physical Therapist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-33214
- Practice address
- 1750 112TH Ave NE
Bellevue, WA 98004-3752 - Phone
- (425) 289-0381
- NPI assigned
- Jul 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-33214 | AZ | Primary |
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 1393329 | TX |
Addresses
Primary practice location
1750 112TH Ave NE
Bellevue, WA 98004-3752
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206
Other practice location 1
1515 N Town East Blvd Ste 500
Mesquite, TX 75150-4145
Phone (214) 273-2903
Other practice location 2
25 Park Meadow Dr
West Seneca, NY 14224-3867
Phone (866) 370-8206
Other practice location 3
6036 N 19th Ave Ste 303
Phoenix, AZ 85015-2105
Phone (520) 822-8640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, AZ, TX, WA
Enrollment records 4
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
Practice addresses (Care Compare)
1750 112TH Ave NE
Suite E175
Bellevue, WA 98004-3781
Phone (425) 289-0381
2222 E Highland Ave
Suite 310
Phoenix, AZ 85016-4879
Phone (602) 512-8550
6036 N 19TH Ave
Suite 303
Phoenix, AZ 85015-2105
Phone (602) 535-5444
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy LLC | Current | Accepting new patients | |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
20300 N John Wayne Pkwy
Ste 120
Maricopa, AZ 85139
20320 N John Wayne Pkwy
Ste 120
Maricopa, AZ 85139
Phone (520) 635-2260
6036 N 19th Ave
Ste 303
Phoenix, AZ 85015
Phone (602) 313-4155
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550
7960 E Thompson Peak Pkwy
Ste 102
Scottsdale, AZ 85255
Phone (480) 256-1422
5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
790 Remington Blvd
Bolingbrook, IL 60440
33205 Collection Ctr Dr
Chicago, IL 60693
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753
727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
1515 N Town East Blvd
Ste 500
Mesquite, TX 75150
Phone (214) 273-2903
1750 112th Ave NE
Ste E175
Bellevue, WA 98004
Phone (425) 289-0381
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
Organizations & group practices 10
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.
-
- Physical Therapist
- Auburn, WA
- NPI 1902808470
-
- Physical Therapist
- Phoenix, AZ
- NPI 1871570309
-
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
- Physical Therapist
- Yelm, WA
- NPI 1922283050
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1821724428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 112TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043752",
"telephone_number": "425-289-0381"
}
],
"practiceLocations": [
{
"address_1": "1515 N Town East Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751504145",
"country_code": "US",
"telephone_number": "214-273-2903",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Park Meadow Dr",
"address_purpose": "LOCATION",
"city": "West Seneca",
"state": "NY",
"postal_code": "142243867",
"country_code": "US",
"telephone_number": "866-370-8206",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6036 N 19th Ave Ste 303",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850152105",
"country_code": "US",
"telephone_number": "520-822-8640",
"fax_number": "520-822-8641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIDDISI",
"first_name": "MITCHELL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-26",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-33214",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1393329",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.