Proactive Medical Staffing & Consulting, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2772 Issued in AZ

Legal business name

PROACTIVE MEDICAL STAFFING & CONSULTING, LLC

Practice address

12169 E Cortez Dr
Scottsdale, AZ 85259-3324

Phone

(480) 216-3938

Fax

(480) 659-9898

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. David Amsellem, PT

Title

Owner / Founder

Phone

(480) 216-3938

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1245479880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12169 E CORTEZ DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852593324",
            "telephone_number": "480-216-3938",
            "fax_number": "480-659-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12169 E CORTEZ DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852593324",
            "telephone_number": "480-216-3938",
            "fax_number": "480-659-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MEDICAL STAFFING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "AMSELLEM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER / FOUNDER",
        "authorized_official_telephone_number": "480-216-3938",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2772",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AZ",
            "license": "2772",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "2772",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "2772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.