Organization Active NPI

University of Medical Sciences Arizona

  • Rehabilitation Clinic/Center
  • Avondale, AZ
National Provider Identifier
1134569700
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
UNIVERSITY OF MEDICAL SCIENCES ARIZONA
Practice address
125 S Avondale Blvd
Suite 105
Avondale, AZ 85323-5212
Phone
(480) 442-8059
NPI assigned
Jun 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Dr. Janice Pitts, PTNPI 1306286554
Title
President/Acting Dean
Phone
(480) 442-8059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

125 S Avondale Blvd
Suite 105
Avondale, AZ 85323-5212

Mailing address

125 S Avondale Blvd
Suite 105
Avondale, AZ 85323-5212
Phone (480) 442-8059

Other names 1

  • The Lionel Holder Rehabilitation Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

125 S Avondale Blvd
Ste 105
Avondale, AZ 85323
Phone (480) 442-8059

Practitioners & affiliated clinicians

Practitioners 2

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": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1134569700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S AVONDALE BLVD",
            "address_2": "SUITE 105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235212",
            "telephone_number": "480-442-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S AVONDALE BLVD",
            "address_2": "SUITE 105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235212",
            "telephone_number": "480-442-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MEDICAL SCIENCES ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRESIDENT/ACTING DEAN",
        "authorized_official_telephone_number": "480-442-8059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lionel Holder Rehabilitation Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.