NPIMap

Individual provider Active NPI

Patrick James Mahaney, MD

  • Physical Medicine & Rehabilitation Physician
  • Prescott Valley, AZ
National Provider Identifier
1962727313
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD.205099 Issued in LA
Practice address
3700 N Windsong Dr
Prescott Valley, AZ 86314-1253
Phone
(716) 472-8421
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD.205099 LA Primary

Addresses

Primary practice location

3700 N Windsong Dr
Prescott Valley, AZ 86314-1253

Mailing address

3700 N Windsong Dr
Prescott Valley, AZ 86314-1253
Phone (716) 472-8421

Other practice location 1

6900 North Pecos Road
VA Southern Nevada Healthcare System
North Las Vegas, NV 89086
Phone (716) 472-8421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191105000090 AZ Practitioner - Physical Medicine and Rehabilitation 9537491998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3700 N Windsong Dr
Prescott Valley, AZ 86314-1253
Phone (928) 759-8800

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Mountain Valley Regional Rehabilitation Hospital Inpatient rehabilitation facility, Prescott Valley, AZ, CCN 033036

Merit-based Incentive Payment System (MIPS)

Final score
52.27 of 100Reported as individual
Quality
71.35
Improvement activities
0
Cost
72.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.205099LAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Double Docs Rehab, PLLC Physical Medicine & Rehabilitation CurrentSince Aug 1, 2019 Accepting new patients
Dermatology & Skin Care by Shelly Current Accepting new patients
Mountain Valley Regional Rehabilitation Hospital Inc Past Accepting new patients

Locations

3700 N Windsong Dr
Prescott Vly, AZ 86314
Phone (575) 640-3382

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1962727313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141253",
            "telephone_number": "716-472-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141253",
            "telephone_number": "716-472-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 North Pecos Road",
            "address_2": "VA Southern Nevada Healthcare System",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "89086",
            "country_code": "US",
            "telephone_number": "716-472-8421",
            "fax_number": "702-791-9372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHANEY",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "MD.205099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.