Individual provider Active NPI

Brady Michelsen

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1942884929
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31733 Issued in AZ
Practice address
3591 S Mercy Rd Ste 204
Gilbert, AZ 85297-2240
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
May 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X LPT-31733 AZ Primary

Addresses

Primary practice location

3591 S Mercy Rd Ste 204
Gilbert, AZ 85297-2240

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629002393 AZ Practitioner - Physical Therapist in Private Practice 4587065438 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Luna Care Physical Therapy LLCGroup PAC ID 8325469661, 18 clinicians
Arizona Performance InstituteGroup PAC ID 1052787017, 4 clinicians

Practice addresses (Care Compare)

14050 N 83Rd Ave
Suite 290
Peoria, AZ 85381-5650
Phone (866) 525-3175

8607 E Pecos Rd
Suite 116
Mesa, AZ 85212-9307
Phone (480) 500-1446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Performance Institute Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
Inbalance PT LLC Single Specialty CurrentSince May 10, 2021 Accepting new patients
Orthopedic Specialists of North America, PLLC Single Specialty Current Accepting new patients
BHSM Rehabilitation, LLC Single Specialty Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Oct 1, 2022 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Jan 23, 2023 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Oct 1, 2022 Accepting new patients
Orthopedic Specialists of North America PLLC Single Specialty CurrentSince Jan 23, 2023 Accepting new patients

Locations

525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

8607 E Pecos Rd
Ste 116
Mesa, AZ 85212
Phone (480) 500-1446

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

36397 N Gantzel Rd
Ste 102
San Tan Vly, AZ 85140
Phone (480) 567-2231

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1942884929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 S MERCY RD STE 204",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972240",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSEN",
        "first_name": "BRADY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.