Organization Active NPI

Rehab Arizona Physicaltherapy East

  • Specialist
  • Mesa, AZ
National Provider Identifier
1114129145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5385 Issued in AZ
Legal business name
REHAB ARIZONA PHYSICALTHERAPY EAST
Practice address
2919 S Ellsworth Rd Ste 115
Mesa, AZ 85212-2165
Phone
(480) 393-0960
NPI assigned
Jun 1, 2007
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
Jenifer Chapman
Title
Billing
Phone
(480) 393-0960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 5385 AZ Primary

Addresses

Primary practice location

2919 S Ellsworth Rd Ste 115
Mesa, AZ 85212-2165

Mailing address

2919 S Ellsworth Rd Ste 115
Mesa, AZ 85212-2165

Other identifiers 1

IdentifierTypeStateIssuer
AZ0919410OtherAZBCBS

National Provider Directory

National Provider Directory

Locations

2919 S Ellsworth Rd
Ste 115
Mesa, AZ 85212
Phone (480) 393-0960

2152 S Vineyard
Ste 250
Mesa, AZ 85210

8415 N Pima Rd
Ste 215
Scottsdale, AZ 85258
Phone (480) 659-2301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114129145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122165",
            "telephone_number": "480-393-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ARIZONA PHYSICALTHERAPY EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "480-393-0960"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "5385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0919410",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, 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.