Organization Active NPI

Arizona Pain Management and Rehabilitation, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1285812214
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3223 Issued in AZ
Legal business name
ARIZONA PAIN MANAGEMENT AND REHABILITATION, PLLC
Practice address
13835 N Tatum Blvd Ste 9326
Phoenix, AZ 85032-0409
Phone
(480) 209-4554
Fax
(844) 287-5554
NPI assigned
Jan 31, 2008
Last updated
Feb 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Dr. Estelle Rhonda Farrell, DONPI 1174614622
Title
Owner
Phone
(480) 209-4554

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 3223 AZ Primary

Addresses

Primary practice location

13835 N Tatum Blvd Ste 9326
Phoenix, AZ 85032-0409

Mailing address

13835 N Tatum Blvd Ste 9326
Phoenix, AZ 85032-0409
Phone (480) 209-4554

National Provider Directory

National Provider Directory

Locations

13835 N Tatum Blvd
#9501
Phoenix, AZ 85032

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1285812214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13835 N TATUM BLVD STE 9326",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850320409",
            "telephone_number": "480-209-4554",
            "fax_number": "844-287-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13835 N TATUM BLVD STE 9326",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850320409",
            "telephone_number": "480-209-4554",
            "fax_number": "844-287-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PAIN MANAGEMENT AND REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_middle_name": "RHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-209-4554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "3223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.