Afc of Tempe PLLC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Tempe, AZ
NPI 1255879854 · NPPES record last updated Dec 8, 2017
Key facts
- NPI
- 1255879854
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- AFC OF TEMPE PLLC
- Practice address
- 2145 E Warner Rd
Ste 104
Tempe, AZ 85284-3548 - Phone
- (480) 664-9443
- Fax
- (480) 664-9378
- NPI assigned
- Feb 3, 2017
- Organization subpart
- No
Authorized official
- Name
- Joshua F. Bock
- Title
- Managing Member
- Phone
- (480) 726-2287
Practitioners 70
-
Benjamin Glasman, D.C
-
Janet M Pragit, D.O.
-
Zachary Michael Bartlett, PA-C
-
Linzie Gaddie, PA-C
-
Erica Vice, PA-C
-
Clifford R Ball, MD
-
Joshua Frederick Bock, D.C.
-
Joel G Cohen, M.D.
-
Paul W Dickerson, D.C., LTD
-
Jennifer Lavonne Forbes, D.C.
-
Todd Cameron Forbes, D.C.
-
Victoria Marie Kes, D.C.
-
Jace L Nybo, DC
-
Vanessa R. Olds, PA-C
-
Michone Ouellette, D.C.
-
Eathyn Peterson, DC, ATC
-
Damian Sean Scelfo, D.C.
-
Ryan Joseph Sculley, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170309001290 | AZ | Part B Supplier - Clinic/Group Practice | 8729362892 |
Receives reassigned benefits from 68 practitioners Practice locations: Tempe, AZ |
| O20171031002251 | AZ | DME Supplier - Physician - Family Practice | 8729362892 | Practice locations: Tempe, AZ |
National Provider Directory
Locations
2145 E Warner Rd
Ste 104
Tempe, AZ 85284
Phone (480) 644-9443
2145 E Warner Rd
Ste 107
Tempe, AZ 85284
Phone (480) 664-9443
2145 E Warner Rd
Tempe, AZ 85284
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7629170001 | AZ |
Addresses
Primary practice location
2145 E Warner Rd
Ste 104
Tempe, AZ 85284-3548
Mailing address
1839 S Alma School Rd Ste 354
Mesa, AZ 85210-3028
Phone (480) 726-2287
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.