Arizona Physical Medicine and Rehabilitation PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

40368 Issued in AZ

Legal business name

ARIZONA PHYSICAL MEDICINE AND REHABILITATION PC

Practice address

5690 W Chandler Blvd Ste 2
Chandler, AZ 85226-3356

Phone

(480) 878-7425

Fax

(480) 207-1025

NPI assigned

Sep 19, 2008

Last updated

Dec 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Iqbal Uddin, M.D.NPI 1215959762

Title

President

Phone

(480) 878-7425

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEDDCA

Practitioners 5

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.

• Mohammad I Uddin, MD

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1215959762
  Medicare reassignment NPD Authorized official
• Jordan Chang, PT, DPT

  • Physical Therapist
  • Chandler, AZ
  • NPI 1609392901
  NPD (past)
• Lorete Feka, DPT, CLT, GAQ

  • Physical Therapist
  • Chandler, AZ
  • NPI 1811664113
  NPD (past)
• Traci Lepacik, SLP

  • Speech-Language Pathologist
  • Gilbert, AZ
  • NPI 1962852509
  NPD (past)
• Leah N Taylor

  • Physical Therapist
  • Chandler, AZ
  • NPI 1639878069
  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1265682850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852800036",
            "telephone_number": "480-878-7425",
            "fax_number": "480-207-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 W CHANDLER BLVD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263356",
            "telephone_number": "480-878-7425",
            "fax_number": "480-207-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PHYSICAL MEDICINE AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "IQBAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-878-7425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "AZ",
            "license": "40368",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "40368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376403",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.