OrganizationActiveAccepts Medicare

Mind to Body Healing, LLC

NPI 1619785359 · Physical Therapist · Phoenix, AZ

Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1619785359
Entity type: Organization
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Organization subpart: No
Authorized official: Kylee Austin, Co-Owner(480) 550-1003

Specialties & taxonomies

Physical TherapistPrimary225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Counselor101Y00000X
Behavioral Health & Social Service Providers
Physical Therapy Assistant225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3104 E Indian School Rd Ste 120

Phoenix, AZ 85016-6873

Phone: (480) 269-7953

Fax: (480) 769-7269

Street-level locationGet directions

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Mailing address