NPIMap

Organization Active NPI

Center for Physical Medicine & Rehabilitation P C

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1306959218
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CENTER FOR PHYSICAL MEDICINE & REHABILITATION P C
Practice address
7600 N 15TH St Ste 102
Phoenix, AZ 85020-4330
Phone
(602) 246-7410
Fax
(602) 246-7950
NPI assigned
Aug 16, 2006
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Kevin S Ladin, MDNPI 1396748851
Title
Ceo/President
Phone
(602) 246-9002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X

Addresses

Primary practice location

7600 N 15TH St Ste 102
Phoenix, AZ 85020-4330

Mailing address

1331 N 7TH St Ste 360
Phoenix, AZ 85006-2772
Phone (602) 246-9002

Other practice location 1

1331 N 7th St Ste 360
Phoenix, AZ 85006-2772
Phone (602) 246-9002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000908 AZ Part B Supplier - Clinic/Group Practice 8527044072 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1104351Center for Physical Medicine and Rehabilitation PC7600 N 15TH St Ste 102, Phoenix, AZ 85020Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

2423 W Dunlap Ave
Ste C
Phoenix, AZ 85021

3302 W Thomas Rd
Phoenix, AZ 85017
Phone (602) 233-0409

Practitioners & affiliated clinicians

Practitioners 126

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 126

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1306959218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062772",
            "telephone_number": "602-246-9002",
            "fax_number": "602-246-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204330",
            "telephone_number": "602-246-7410",
            "fax_number": "602-246-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 N 7th St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062772",
            "country_code": "US",
            "telephone_number": "602-246-9002",
            "fax_number": "602-246-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR PHYSICAL MEDICINE & REHABILITATION P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "LADIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "602-246-9002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.