Mikrut Physical Therapy Llc

LBN: Mikrut Physical Therapy Llc
Mikrut Physical Therapy Llc is an health care organization with primary practice located at 919 12Th Pl Ste 11 , Prescott AZ 86305-1433. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Mikrut Physical Therapy Llc can be contacted via phone (928) 632-0800, or through Mikrut, James via phone (928) 632-0800.

Contact Information

Primary practice address
919 12Th Pl Ste 11 Prescott AZ 86305-1433
Phone: (928) 632-0800
Fax: (928) 632-8505
Website:
Map and Directions
Authorized official contact:
Name: Mikrut, James Physical Therapist (PT)
Phone: (928) 632-0800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 6486 Arizona
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 5501005426 Arizona

Profile Details

NPI number 1649223306
LBN Legal business name Mikrut Physical Therapy Llc
DBA Doing business as
Authorized official Mikrut, James Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Jul 25th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649223306 NPPES
Arizona MEDICAID 915936

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