Arizona Mobile Outpatient Rehab PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ARIZONA MOBILE OUTPATIENT REHAB PLLC

Practice address

7672 E Logan PL
Tucson, AZ 85730-3425

Phone

(520) 275-3327

NPI assigned

Dec 3, 2020

Last updated

Dec 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa D Bryant, PTNPI 1730389818

Title

President

Phone

(520) 275-3327

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Dawn Bryant, PT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1730389818
  NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1003411372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7672 E LOGAN PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303425",
            "telephone_number": "520-275-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7672 E LOGAN PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303425",
            "telephone_number": "520-275-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MOBILE OUTPATIENT REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-275-3327",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Tucson, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.