Chandler Physiatry

Primary specialty

Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X

Legal business name

CHANDLER PHYSIATRY

Practice address

1515 W Chandler Blvd
Chandler, AZ 85224-6141

Phone

(602) 594-5400

NPI assigned

Sep 9, 2019

Organization subpart

No

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

Authorized official

Name

Grace Maloney, MD

Title

Owner/Provider

Phone

(602) 594-5400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1154970457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 E THOMAS RD UNIT 15641",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850602629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246141",
            "telephone_number": "602-594-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER PHYSIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "602-594-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399596",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandler Oral and Maxillofacial Surgery
• Chandler Orthopedic Center LLC
• Chandler Pain Medicine & Physical Therapy, LLC
• Chandler PDC PLLC (Johansen Dental)
• Chandler Pediatrics LLC
• Chandler Primary Care PLC
• Chandler Procedure Center, PLC
• Chandler Radiology Associates LLC
• Chandler Ray 1 LLC
• Chandler Regional Medical Center (CRMC Trauma Services)

• Spinal Cord Injury Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Spinal Cord Injury Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.