Physical Medicine Centers of Arizona, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

PHYSICAL MEDICINE CENTERS OF ARIZONA, LLC

Practice address

5045 W Baseline Rd Ste 120
Suite 120
Laveen, AZ 85339-7393

Phone

(602) 237-1105

Fax

(602) 237-1106

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Jerod Bowen, PT

Title

Owner

Phone

(602) 237-1105

Specialties & licenses 1

Addresses

Other names 1

• Laveen Physical Medicine Doing business as

Locations

Practitioners 1

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

• Chadwick Stewart, D.C.

  • Chiropractor
  • Laveen, AZ
  • NPI 1710047758
  NPD (past)

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1194026039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 W BASELINE RD STE 120",
            "address_2": "SUITE 120",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397393",
            "telephone_number": "602-237-1105",
            "fax_number": "602-237-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W BASELINE RD STE 120",
            "address_2": "SUITE 120",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397393",
            "telephone_number": "602-237-1105",
            "fax_number": "602-237-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE CENTERS OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JEROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-237-1105",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laveen Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fabiana Pettroza
• Nicole Peyton, D.C.
• Pha Residential LLC
• Philia Homecare LLC
• Phoenix Happy Living LLC
• Pinky Castillo Dba
• Mareesa Plaisimond, PA-C
• Megan Zarina Ploss, DMD
• Shelia Rene Porter
• Preference Healthcare Group PLLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.