Re-Medica

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

RE-MEDICA

Practice address

6140 W Chandler Blvd Ste 7
Chandler, AZ 85226-3460

Phone

(623) 759-1668

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Dana Marie Ebersole

Title

Owner/Manager

Phone

(623) 759-1668

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1124787437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 W CHANDLER BLVD STE 7",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263460",
            "telephone_number": "480-759-1668",
            "fax_number": "480-452-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W CHANDLER BLVD STE 7",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263460",
            "telephone_number": "623-759-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-MEDICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "EBERSOLE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "623-759-1668"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Amanda Raya, DMD
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• Raymond P Roffi MDPC
• Mir-Muhammad Razavi, MD
• RCDC of Mesa PLC
• Reaching Beyond LLC
• James Douglas Reade, DC
• Cassidy Reader
• Danielle Ready, APRN
• Faith Maroney Real, PA-C

• Physical Medicine & Rehabilitation Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.