Organization Active NPI

Biltmore Physical Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1427560093
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
46628 Issued in AZ
Legal business name
BILTMORE PHYSICAL MEDICINE LLC
Doing business as
Arizona Pain Relief
Practice address
3001 E Camelback Rd Ste 155
Phoenix, AZ 85016-0001
Phone
(602) 234-2611
Fax
(602) 234-2612
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. Justin D Thompson
Title
Manager
Phone
(435) 760-5896

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 46628 AZ
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 46628 AZ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 12547 AZ
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X AP8392 AZ

Addresses

Primary practice location

3001 E Camelback Rd Ste 155
Phoenix, AZ 85016-0001

Mailing address

3001 E Camelback Rd Ste 155
Phoenix, AZ 85016-0001
Phone (602) 234-2611

Other names 1

  • Arizona Pain Relief Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1427560093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E CAMELBACK RD STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160001",
            "telephone_number": "602-234-2611",
            "fax_number": "602-234-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E CAMELBACK RD STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160001",
            "telephone_number": "602-234-2611",
            "fax_number": "602-234-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILTMORE PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-760-5896",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "46628",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "46628",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12547",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Pain Relief",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.