Mesa Physical Medicine PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP4338 Issued in AZ

Legal business name

MESA PHYSICAL MEDICINE PLLC

Practice address

2919 S Ellsworth Rd
Suite 102
Mesa, AZ 85212-2164

Phone

(480) 354-2008

NPI assigned

Jul 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Scott Taylor, D.C.NPI 1023381340

Title

Ceo

Phone

(480) 907-1322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 9

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

• Scott Alexander Taylor, D.C.

  • Chiropractor
  • Mesa, AZ
  • NPI 1023381340
  Medicare reassignment Care Compare group NPD Authorized official
• Evan Short

  • Physical Therapist
  • Mesa, AZ
  • NPI 1518343003
  Medicare reassignment Care Compare group NPD
• Christian Wong, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1043620339
  Medicare reassignment Care Compare group NPD
• Daisy Hannah Liljenquist, PA

  • Physician Assistant
  • Mesa, AZ
  • NPI 1740858976
  Medicare reassignment Care Compare group
• Jamal D Dabbah, M.D.

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1427304963
  Medicare reassignment NPD
• Joshua Korson, DPT

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1316497308
  Medicare reassignment NPD
• Vincent M. Noriega, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1831469733
  Medicare reassignment NPD
• Quinn Miller, DC

  • Chiropractor
  • Mesa, AZ
  • NPI 1669324646
  NPD
• Colin Rigney

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1649565276
  NPD

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1154774305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122164",
            "telephone_number": "480-354-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122164",
            "telephone_number": "480-354-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA PHYSICAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-907-1322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP4338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mesa Naturopathic, PLLC
• Mesa Obstetricians & Gynecologists, LTD
• Mesa Outpatient Treatment Center LLC
• Mesa Pain Center LLC
• Mesa Pavilions Dental LLC
• Mesa Physician Group
• Mesa Public Schools
• Mesa Regen Group, LLC
• Mesa Serenity Assisted Living Home LLC
• Mesa Smiles Dentistry

• Primary Care Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.