Inspire Rehabilitation and Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INSPIRE REHABILITATION AND WELLNESS LLC

Practice address

4290 E Tomahawk Dr
Kingman, AZ 86401-7502

Phone

(847) 571-4313

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

Carol Sue Letner, PT DPTNPI 1861443236

Title

Doctor of Physical Therapy

Phone

(847) 571-4313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Carol Sue Letner, D.P.T.

  • Physical Therapist
  • Kingman, AZ
  • NPI 1861443236
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Nicole Sieban

  • Physical Therapist
  • Yuma, AZ
  • NPI 1518454735
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1114627775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 E TOMAHAWK DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864017502",
            "telephone_number": "847-571-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 E TOMAHAWK DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864017502",
            "telephone_number": "847-571-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE REHABILITATION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "LETNER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "847-571-4313",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.