Active NPI
Az Institute of Spine and Sports Care, LTD
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
National Provider Identifier
1013219831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 22892
- Legal business name
- AZ INSTITUTE OF SPINE AND SPORTS CARE, LTD
- Practice address
- 20033 N 19TH Ave
Suite 108
Phoenix, AZ 85027-4245 - Phone
- (623) 516-8499
- Fax
- (623) 516-8641
- NPI assigned
- Nov 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Reece
- Title
- Office Manager
- Phone
- (623) 516-8499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 22892 | AZ | Primary |
Addresses
Primary practice location
20033 N 19TH Ave
Suite 108
Phoenix, AZ 85027-4245
Mailing address
20033 N 19TH Ave
Suite 108
Phoenix, AZ 85027-4245
Phone (623) 516-8499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20033 N 19th Ave
Ste 108
Phoenix, AZ 85027
Phone (480) 963-3034
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1285647461
-
- Plastic Surgery Physician
- Chandler, AZ
- NPI 1134325152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296604800000",
"number": "1013219831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20033 N 19TH AVE",
"address_2": "SUITE 108",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274245",
"telephone_number": "623-516-8499",
"fax_number": "623-516-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20033 N 19TH AVE",
"address_2": "SUITE 108",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274245",
"telephone_number": "623-516-8499",
"fax_number": "623-516-8641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ INSTITUTE OF SPINE AND SPORTS CARE, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-30",
"last_updated": "2011-02-02",
"status": "A",
"authorized_official_last_name": "REECE",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "623-516-8499"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "22892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.