On Track Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ON TRACK RECOVERY LLC

Practice address

1414 W Broadway Rd Ste 145
Tempe, AZ 85282-1142

Phone

(786) 377-4925

NPI assigned

Mar 3, 2023

Organization subpart

No

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

Authorized official

Name

Brian Karow

Title

Coo

Phone

(786) 377-4925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1073213666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W BROADWAY RD STE 145",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821142",
            "telephone_number": "786-377-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W BROADWAY RD STE 145",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821142",
            "telephone_number": "786-377-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TRACK RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "KAROW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "786-377-4925"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.