Active NPI
Az Allopathic Care, LLC
- Physical Medicine & Rehabilitation Physician
- Scottsdale, AZ
National Provider Identifier
1043657893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 47294
- Legal business name
- AZ ALLOPATHIC CARE, LLC
- Practice address
- 8131 E Indian Bend Rd
Suite 226
Scottsdale, AZ 85250-4822 - Phone
- (480) 294-0542
- Fax
- (480) 883-7241
- NPI assigned
- Jun 3, 2013
- 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
- Thomas Incledon, PHD, RD, LD, LN, RPT
- Title
- Managing Member
- Phone
- (480) 294-0542
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | AZ | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | 47294 | AZ | Primary |
Addresses
Primary practice location
8131 E Indian Bend Rd
Suite 226
Scottsdale, AZ 85250-4822
Mailing address
8131 E Indian Bend Rd
Suite 226
Scottsdale, AZ 85250-4822
Phone (480) 294-0542
National Provider Directory
National Provider DirectoryLocations
8131 E Indian Bend Rd
Ste 226
Scottsdale, AZ 85250
Phone (480) 294-0542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370908800000",
"number": "1043657893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8131 E INDIAN BEND RD",
"address_2": "SUITE 226",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852504822",
"telephone_number": "480-294-0542",
"fax_number": "480-883-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8131 E INDIAN BEND RD",
"address_2": "SUITE 226",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852504822",
"telephone_number": "480-294-0542",
"fax_number": "480-883-7241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ ALLOPATHIC CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-11",
"status": "A",
"authorized_official_last_name": "INCLEDON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "480-294-0542",
"authorized_official_credential": "PHD, RD, LD, LN, RPT"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "47294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.