Active NPI
Jonathan Song
- Physical Medicine & Rehabilitation Physician
- Scottsdale, AZ
National Provider Identifier
1235932708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- JONATHAN SONG
- Practice address
- 9630 E Shea Blvd # Az
Scottsdale, AZ 85260-6267 - Phone
- (480) 360-2039
- Fax
- (909) 265-9445
- NPI assigned
- Mar 31, 2025
- Last updated
- Aug 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Song, DO
- Title
- Owner
- Phone
- (480) 360-2039
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
9630 E Shea Blvd # Az
Scottsdale, AZ 85260-6267
Mailing address
106 W Osborn Rd # 1133
Phoenix, AZ 85013-3909
Phone (480) 360-2039
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tacoma, WA
- NPI 1902260227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1235932708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W OSBORN RD # 1133",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133909",
"telephone_number": "480-360-2039",
"fax_number": "909-265-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9630 E SHEA BLVD # AZ",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606267",
"telephone_number": "480-360-2039",
"fax_number": "909-265-9445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN SONG",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-31",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "SONG",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-360-2039",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.