Individual provider Active NPI

Mitchell Dreska

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1942717038
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0015317 Issued in CO
Practice address
10710 Westminster Blvd Unit 120
Westminster, CO 80020-4182
Phone
(303) 593-0696
NPI assigned
Jan 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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 0015317 CO Primary

Addresses

Primary practice location

10710 Westminster Blvd Unit 120
Westminster, CO 80020-4182

Mailing address

4800 N 44TH St
Phoenix, AZ 85018-3800
Phone (602) 808-8989

Other practice location 1

1 Superior Dr Unit B
Superior, CO 80027-8649
Phone (720) 388-8380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030002003 AZ Practitioner - Physical Therapist in Private Practice 0941560668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinect Physical Therapy PLLCGroup PAC ID 3476713009, 46 clinicians

Practice addresses (Care Compare)

11851 N 51St Ave
Suite 110
Glendale, AZ 85304-2809
Phone (480) 653-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Camelback Sports Therapy LLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince May 9, 2022 Accepting new patients

Locations

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

11851 N 51st Ave
Ste 110
Glendale, AZ 85304
Phone (602) 252-0859

11851 N 51st Ave
Ste D110
Glendale, AZ 85304
Phone (623) 934-1154

11851 N 51st Ave
Unit 110
Glendale, AZ 85304

21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829

4800 N 44th St
Phoenix, AZ 85018
Phone (602) 808-8989

100 E Camelback Rd
Ste 120
Phoenix, AZ 85012
Phone (602) 808-8989

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

1745 W Hunt Hwy
Ste 103B
San Tan Valley, AZ 85143

40975 N Ironwood Dr
Ste B107
San Tan Valley, AZ 85140
Phone (480) 568-4580

Organizations & group practices 3

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1942717038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183800",
            "telephone_number": "602-808-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 WESTMINSTER BLVD UNIT 120",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800204182",
            "telephone_number": "303-593-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Superior Dr Unit B",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "CO",
            "postal_code": "800278649",
            "country_code": "US",
            "telephone_number": "720-388-8380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRESKA",
        "first_name": "MITCHELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0015317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.