Aspen Rehab PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

ASPEN REHAB PLLC

Practice address

1851 N Gemini Dr Ste a
Flagstaff, AZ 86001-1607

Phone

(480) 821-9339

NPI assigned

Sep 29, 2021

Organization subpart

No

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

Authorized official

Name

Jamal Balouch, MDNPI 1922254705

Title

Member

Phone

(406) 868-5532

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamal Abdul Yasser Balouch, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Great Falls, MT
  • NPI 1922254705

  AZ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1265104152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852142510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N GEMINI DR STE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011607",
            "telephone_number": "480-821-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "BALOUCH",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-868-5532",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anya Ashley, LMHC
• Aspen Anesthesia, LLC
• Aspen Corner Pharmacy and Refillery LLC
• Aspen Family Medicine PC
• Aspen Midwifery LLC
• Aspen Surgical, Inc.
• Assisted Lifestyles
• Associated Retina Consultants, LTD.
• Karen Marie Asvitt, P.T
• April Jannine Ater, OTR/L

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.