The Rejuvenation Center of Chandler

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

THE REJUVENATION CENTER OF CHANDLER

Doing business as

The Rejuvenation Center

Practice address

1445 W Chandler Blvd
BLDG a
Chandler, AZ 85224-6130

Phone

(480) 899-4878

NPI assigned

Jun 19, 2006

Last updated

Jul 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shannon L Smith

Title

Billing Operations Manager

Phone

(402) 391-2635

Specialties & licenses 1

Addresses

Other names 1

• The Rejuvenation Center Doing business as

Locations

Practitioners 6

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.

• Tim Bryan, MD

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1831133743
  NPD (past)
• Larry Allen Gruver, MPT,ATC

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1700826526
  NPD (past)
• Brian Moss, MPT

  • Physical Therapist
  • Chandler, AZ
  • NPI 1689618548
  NPD (past)
• Rod Hall, DO

  • Family Medicine Physician
  • Soldotna, AK
  • NPI 1750322749
  NPD (past)
• James R Staheli, DO

  • Family Medicine Physician
  • Dothan, AL
  • NPI 1043251036
  NPD (past)
• Matthew J Winters, DPT

  • Physical Therapist
  • Lawrenceville, GA
  • NPI 1124053194
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1376588715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S 72ND ST",
            "address_2": "STE 302",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241734",
            "telephone_number": "402-391-2635",
            "fax_number": "402-391-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W CHANDLER BLVD",
            "address_2": "BLDG A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246130",
            "telephone_number": "480-899-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REJUVENATION CENTER OF CHANDLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING OPERATIONS MANAGER",
        "authorized_official_telephone_number": "402-391-2635",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rejuvenation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.