Phoenix Mua Physicians Group

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHOENIX MUA PHYSICIANS GROUP

Practice address

9140 W Thomas Rd
Suite B-106
Phoenix, AZ 85037-3378

Phone

(623) 628-0486

NPI assigned

Jan 30, 2015

Last updated

Jan 30, 2015By 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

Dr. Trever Jay Penny, DC

Title

Managing Member

Phone

(623) 628-0486

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1023408978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 W THOMAS RD",
            "address_2": "SUITE B-106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373378",
            "telephone_number": "623-628-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 W THOMAS RD",
            "address_2": "SUITE B-106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373378",
            "telephone_number": "623-628-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MUA PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "PENNY",
        "authorized_official_first_name": "TREVER",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "623-628-0486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Mind Body Connection LLC
• Phoenix Mountain Dentistry, LLC
• Phoenix Mountain Nursing Center Inc
• Phoenix Mountain Nursing Center, Inc. (Phoenix Mountain Nursing Center)
• Phoenix Mountain Pkwy Medical Center, LLC (First Choice Emergency Room)
• Phoenix Neurological Associates LTD
• Phoenix Neurological Institute Inc (Phoenician Behavioral Health)
• Phoenix Neurology and Sleep Medicine PLLC
• Phoenix Neurology and Sleep Medicine PLLC
• Phoenix Oasis Recovery Homes Inc.

• Physical Medicine & Rehabilitation Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.