Organization Active NPI

Yuma Rehabilitation Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Yuma, AZ
National Provider Identifier
1376841692
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
28377 Issued in AZ
Legal business name
YUMA REHABILITATION MEDICINE LLC
Practice address
901 W 24TH St
Yuma, AZ 85364-6384
Phone
(928) 329-4761
Fax
(928) 329-4448
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Rinely Aguiar-Olsen, M.D.
Title
President
Phone
(928) 329-4761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 28377 AZ Primary

Addresses

Primary practice location

901 W 24TH St
Yuma, AZ 85364-6384

Mailing address

PO Box 5298
Yuma, AZ 85366-2465
Phone (928) 329-4761

National Provider Directory

National Provider Directory

Locations

904 W 24TH St
Yuma, AZ 85364
Phone (928) 329-4761

Practitioners & affiliated clinicians

Practitioners 2

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": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1376841692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5298",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662465",
            "telephone_number": "928-329-4761",
            "fax_number": "928-329-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646384",
            "telephone_number": "928-329-4761",
            "fax_number": "928-329-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA REHABILITATION MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "AGUIAR-OLSEN",
        "authorized_official_first_name": "RINELY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-329-4761",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "28377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.