NPIMap

Organization Active NPI

Novacare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Tempe, AZ
National Provider Identifier
1043417082
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3818 Issued in AZ
Legal business name
NOVACARE OUTPATIENT REHABILITATION WEST INC
Practice address
4515 S McClintock Dr
Ste 110
Tempe, AZ 85282-7376
Phone
(480) 839-2196
Fax
(480) 831-3025
NPI assigned
Jul 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kimberly Clifton
Title
Director
Phone
(520) 721-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3818 AZ Primary

Addresses

Primary practice location

4515 S McClintock Dr
Ste 110
Tempe, AZ 85282-7376

Mailing address

4515 S McClintock Dr
Ste 110
Tempe, AZ 85282-7376
Phone (480) 839-2196

National Provider Directory

National Provider Directory
Tax ID family
Novacare Outpatient Rehabilitation West Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043417082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 S MCCLINTOCK DR",
            "address_2": "STE 110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827376",
            "telephone_number": "480-839-2196",
            "fax_number": "480-831-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 S MCCLINTOCK DR",
            "address_2": "STE 110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827376",
            "telephone_number": "480-839-2196",
            "fax_number": "480-831-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE OUTPATIENT REHABILITATION WEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-721-5088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "3818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.