NPIMap

Organization Active NPI

Center for Orthopedic Research and Educatoin

  • 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
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
Organization subpart
Yes
Parent organization
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCAITONAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
David J Jacofsky, MD
Title
Chairman & Ceo
Phone
(866) 974-2673

Other NPIs on the same Medicare enrollment 2

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

Practitioners 154

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

View all 154

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…

National Provider Directory

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

Locations

9321 W Thomas Rd
Ste 305
Phoenix, AZ 85037

3200 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 226-2900

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X AZ Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
IdentifierTypeStateIssuer
341246MedicaidAZ

Other names 1

NPPES NPI Registry
  • The CORE Institute Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 17, 2014.

{
    "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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.