NPIMap

Organization Active NPI

Western Physiatry, PC

  • Rehabilitation Practitioner
  • Tucson, AZ
National Provider Identifier
1194128710
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
26973 Issued in AZ
Legal business name
WESTERN PHYSIATRY, PC
Practice address
1921 W Hospital Dr
Tucson, AZ 85704-7806
Phone
(520) 742-2800
NPI assigned
Sep 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Jeffrey Wick, MDNPI 1891795092
Title
Owner/President
Phone
(520) 471-3764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X 26973 AZ Primary

Addresses

Primary practice location

1921 W Hospital Dr
Tucson, AZ 85704-7806

Mailing address

658 W Tremolo LN
Oro Valley, AZ 85737-3771
Phone (520) 471-3764

National Provider Directory

National Provider Directory

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": "1411862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1194128710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 W TREMOLO LN",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857373771",
            "telephone_number": "520-471-3764",
            "fax_number": "520-329-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W HOSPITAL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047806",
            "telephone_number": "520-742-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PHYSIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-28",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "520-471-3764",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "AZ",
            "license": "26973",
            "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 Nov 21, 2014; 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.