Southwest Physiatry PLLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

44220

Legal business name

SOUTHWEST PHYSIATRY PLLC

Practice address

4550 E Bell Rd Ste 152
Phoenix, AZ 85032-9382

Phone

(617) 538-3650

Fax

(888) 384-2827

NPI assigned

Oct 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael Crincoli, MDNPI 1497728372

Title

President

Phone

(617) 538-3650

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CO2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Michael G. Crincoli, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Denver, CO
  • NPI 1497728372

  AZ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1407367139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10243 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283606",
            "telephone_number": "617-538-3650",
            "fax_number": "888-384-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 152",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329382",
            "telephone_number": "617-538-3650",
            "fax_number": "888-384-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PHYSIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "CRINCOLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-538-3650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": "44220",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Pain Solutions, LLC
• Southwest Pain Specialists, LLC
• Southwest Pediatrics Payment Processing, LLC
• Southwest Pediatrics, PLLC
• Southwest Phoenix Urgent Care LLC
• Southwest Skin Specialists LLC
• Southwest Sleep Disorders Lab LLC
• Southwest Spine and Orthopedic Center PLLC
• Southwest Sports Medicine and Rehabilitation LLC
• Southwest Surgery Services, LLC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.