Active NPI
Brady Michelsen
- Physical Therapist
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31733
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Performance Institute | Physical Therapist | Current | Accepting new patients |
| Inbalance PT LLC | Single Specialty | Current | 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 | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America PLLC | Single Specialty | Current | 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.
-
- Physical Therapy Clinic/Center
- Mesa, AZ
- NPI 1083216568
Physical Therapist
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
Single Specialty
-
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1548867005
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1740636315
Single Specialty
-
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1962292870
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.