Arizona Lymphedema Institute

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

ARIZONA LYMPHEDEMA INSTITUTE

Practice address

8771 N Huckelberry Way
Tucson, AZ 85742-4179

Phone

(760) 406-2681

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Mark D Schmidt

Title

Ceo and Owner

Phone

(760) 406-2681

Specialties & licenses 2

Addresses

Other names 1

• Lymphedema Treatment Centers of Arizona Other name

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1336879873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8771 N HUCKELBERRY WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424179",
            "telephone_number": "760-406-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8771 N HUCKELBERRY WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424179",
            "telephone_number": "760-406-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA LYMPHEDEMA INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "760-406-2681",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lymphedema Treatment Centers of Arizona",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.