Organization Active NPI

Therex Unlimited Physical Rehab LLC

  • Home Health Agency
  • Maricopa, AZ
National Provider Identifier
1336699115
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11818PT Issued in AZ
Legal business name
THEREX UNLIMITED PHYSICAL REHAB LLC
Practice address
44042 W Palo Teca Rd
Maricopa, AZ 85138-3600
Phone
(810) 577-5066
Fax
(480) 485-8535
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Demarkis Lee Smith, DPT
Title
Authorized Official
Phone
(810) 577-5066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11818PT AZ Primary

Addresses

Primary practice location

44042 W Palo Teca Rd
Maricopa, AZ 85138-3600

Mailing address

44042 W Palo Teca Rd
Maricopa, AZ 85138-3600
Phone (810) 577-5066

Other practice location 1

1015 S Val Vista Dr
Unit 11
Mesa, AZ 85204-5670
Phone (810) 577-5066

Other practice location 2

1015 S Val Vista Dr
Unit 11
Mesa, AZ 85204-5670
Phone (810) 577-5066

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1336699115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44042 W PALO TECA RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851383600",
            "telephone_number": "810-577-5066",
            "fax_number": "480-485-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44042 W PALO TECA RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851383600",
            "telephone_number": "810-577-5066",
            "fax_number": "480-485-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 S Val Vista Dr",
            "address_2": "Unit 11",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852045670",
            "country_code": "US",
            "telephone_number": "810-577-5066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 S Val Vista Dr",
            "address_2": "Unit 11",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852045670",
            "country_code": "US",
            "telephone_number": "810-577-5066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THEREX UNLIMITED PHYSICAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEMARKIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "810-577-5066",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "11818PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

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