MIKRUT PHYSICAL THERAPY LLC
NPI 1649223306
Clinic/Center - Physical Therapy in Prescott, AZ

Active since May 17, 2006
919 12TH PL STE 11, PRESCOTT, AZ 86305(928) 632-0800(928) 632-8505 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mikrut Physical Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKRUT PHYSICAL THERAPY LLC (NPI 1649223306) is a healthcare organization registered as a physical therapy in Prescott, Arizona and active in the NPI registry since May 2006. The organization lists James Mikrut, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1649223306
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameMIKRUT PHYSICAL THERAPY LLC
Location Address919 12TH PL STE 11Prescott, AZ 86305-1433
Mailing Address13175 E Highway 169Dewey, AZ 86327-7372 · (928) 632-0800 · Fax (928) 632-8505
Fax(928) 632-8505
Organization SubpartNo
Authorized OfficialJames MikrutOwner/president · (928) 632-0800
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
✔ NPI 1649223306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Licenses✔ Licensed in AZ · 6486✔ Licensed in AZ · 5501005426
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
919 12TH PL STE 11, Prescott, AZ 86305

Other Identifiers 1

Medicaid915936AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikrut Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mikrut Physical Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1346293248
919 12TH PL STE 11
Prescott, AZ 86305
(928) 632-0800
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikrut Physical Therapy LLC's NPI number?

The NPI number for Mikrut Physical Therapy LLC is 1649223306. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Mikrut Physical Therapy LLC located?

Mikrut Physical Therapy LLC is located at 919 12th Pl Ste 11, Prescott, AZ 86305. The listed phone number is (928) 632-0800.

What is Mikrut Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Mikrut Physical Therapy LLC enrolled in Medicare?

Yes. Mikrut Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mikrut Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Mikrut Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mikrut Physical Therapy LLC accept?

Health plans from Cigna HealthCare of Arizona, Inc list Mikrut Physical Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mikrut Physical Therapy LLC was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.