Individual provider Active NPI

Mitchell Piddisi, DPT

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1821724428
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-33214 Issued in AZ
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

Updated by the provider on May 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220929001085 SC Practitioner - Physical Therapist in Private Practice 5890171755 Reassigns benefits to 1 organization
I20230918000942 AZ Practitioner - Physical Therapist in Private Practice 5890171755 Reassigns benefits to 2 organizations
I20240618002356 TX Practitioner - Physical Therapist in Private Practice 5890171755 Reassigns benefits to 1 organization
I20250422002207 WA Practitioner - Physical Therapist in Private Practice 5890171755 Reassigns benefits to 1 organization

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
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

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 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince Aug 22, 2022 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Aug 24, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 10, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients
Ideal Rehabilitation LLC PastSince Aug 24, 2023 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.

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.

Verify at the official NPI Registry.