Organization Active NPI

Optimed Fitness Medical Rehab & Weight Loss Center, PC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1164565768
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008 Issued in AZ
Legal business name
OPTIMED FITNESS MEDICAL REHAB & WEIGHT LOSS CENTER, PC
Practice address
13206 N 7TH St
Phoenix, AZ 85022-5394
Phone
(602) 866-3454
Fax
(602) 866-3454
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. Jeffrey Alan Lowy, D.C.
Title
President
Phone
(602) 866-0677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2008 AZ Primary

Addresses

Primary practice location

13206 N 7TH St
Phoenix, AZ 85022-5394

Mailing address

13206 N 7TH St
Phoenix, AZ 85022-5394
Phone (602) 866-3454

National Provider Directory

National Provider Directory

Locations

16838 N 7th St
Ste 1
Phoenix, AZ 85022
Phone (602) 298-5173

Practitioners & affiliated clinicians

Practitioners 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1164565768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13206 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225394",
            "telephone_number": "602-866-3454",
            "fax_number": "602-866-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13206 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225394",
            "telephone_number": "602-866-3454",
            "fax_number": "602-866-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMED FITNESS MEDICAL REHAB & WEIGHT LOSS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "LOWY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-866-0677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.