NPIMap

Organization Active NPI

Center for Physical Medicine & Rehabilitation, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
National Provider Identifier
1174616734
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
19347 Issued in AZ
Legal business name
CENTER FOR PHYSICAL MEDICINE & REHABILITATION, P.C.
Practice address
2262 W. Magee Rd.
Tucson, AZ 85742
Phone
(520) 219-0482
Fax
(520) 219-0485
NPI assigned
Oct 2, 2006
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. David Jacobs, M.D.NPI 1568556140
Title
Medical Director
Phone
(520) 219-0482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 19347 AZ Primary

Addresses

Primary practice location

2262 W. Magee Rd.
Tucson, AZ 85742

Mailing address

PO Box 35009
Tucson, AZ 85740-5009
Phone (520) 219-0482

National Provider Directory

National Provider Directory

Locations

2001 W Orange Grove Rd
Ste 504
Tucson, AZ 85704
Phone (520) 219-0482

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1174616734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35009",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857405009",
            "telephone_number": "520-219-0482",
            "fax_number": "520-219-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 W. MAGEE RD.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85742",
            "telephone_number": "520-219-0482",
            "fax_number": "520-219-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PHYSICAL MEDICINE & REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "520-219-0482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "19347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.