NPIMap

Organization Active NPI

Center for Orthopedic Research and Educatoin

Doing business as The CORE Institute

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1275967408
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATOIN
Doing business as
The CORE Institute
Practice address
1450 S Dobson Rd
Ste A302
Mesa, AZ 85202-4712
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Aug 23, 2013
Last updated
Jan 17, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCAITONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
David J Jacofsky, MDNPI 1922040179
Title
Chairman & Ceo
Phone
(866) 974-2673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AZ Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

1450 S Dobson Rd
Ste A302
Mesa, AZ 85202-4712

Mailing address

18444 N 25TH Ave
Ste 310
Phoenix, AZ 85023-1261
Phone (866) 974-2673

Other identifiers 1

IdentifierTypeStateIssuer
341246MedicaidAZ

Other names 1

  • The CORE Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412000087 AZ Part B Supplier - Clinic/Group Practice 0345287322 Receives reassigned benefits from 311 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Surprise, AZ; Sun City West, AZ; Sun City, AZ; Scottsdale, AZ; Prescott Valley, AZ; Mesa, AZ; Gilbert, AZ…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
The Center for Orthopedic Research and Education

Locations

3420 S Mercy Rd
Ste 200
Gilbert, AZ 85297
Phone (480) 909-3787

18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (669) 742-6738

18444 N 25th Ave
Ste 220
Phoenix, AZ 85023
Phone (669) 742-6738

8952 E Desert Cove Ave
Ste 113
Scottsdale, AZ 85260
Phone (480) 314-7772

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

Practitioners & affiliated clinicians

Practitioners 155

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.

View all 155

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1275967408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE",
            "address_2": "STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231261",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S DOBSON RD",
            "address_2": "STE A302",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024712",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATOIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR ORTHOPEDIC RESEARCH AND EDUCAITON",
        "enumeration_date": "2013-08-23",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "JACOFSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN & CEO",
        "authorized_official_telephone_number": "866-974-2673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The CORE Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.