Waller Systems, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WALLER SYSTEMS, LLC

Doing business as

Advanced Rehab

Practice address

3530 S Val Vista Dr
Gilbert, AZ 85297-7318

Phone

(480) 899-4333

Fax

(480) 899-7219

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Mitchell D Waller, DC

Title

Owner

Phone

(480) 899-4333

Specialties & licenses 1

Addresses

Other names 1

• ADVANCED REHAB Doing business as

Locations

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1245603786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "480-899-4333",
            "fax_number": "480-899-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "480-899-4333",
            "fax_number": "480-899-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLER SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-899-4333",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Renee Walker, LCSW, LISW
• Mariah Walkington, RN
• Kevin Ray Wall, DC
• Jennifer Wallace, M.D.
• Keith Wallace
• Morgan Wallis, LAC
• Walmart Inc. (Wal-Mart Pharmacy 10-5186)
• Walmart Inc. (Walmart Pharmacy 10-3861)
• Walnut Vision Care Az, P.C.
• Alyssa Walrath, PA-C

• Chiropractor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.