Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mikrut Physical Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1649223306

Mikrut Physical Therapy LLC is a Physical Therapy Clinic/Center in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

919 12th Pl Ste 11
Prescott, AZ 86305-1433
Phone: (928) 632-0800
Fax: (928) 632-8505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 6486 (AZ)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 5501005426 (AZ)

Record details

NPI number1649223306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Mikrut — Owner/President · (928) 632-0800
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address13175 E Highway 169, Dewey, AZ 86327-7372

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