Active NPI
Rehabilitation & Pain Center Phoenix LLC
- Physical Medicine & Rehabilitation Physician
- Scottsdale, AZ
National Provider Identifier
1437353018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 36513
- Legal business name
- REHABILITATION & PAIN CENTER PHOENIX LLC
- Practice address
- 9377 E Bell Rd
Ste 207
Scottsdale, AZ 85260-1502 - Phone
- (480) 538-2161
- Fax
- (480) 585-9961
- NPI assigned
- Jun 14, 2007
- Last updated
- Jan 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jo Ann Johnson
- Title
- Credentialing
- Phone
- (713) 586-6778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 36513 | AZ | Primary |
Addresses
Primary practice location
9377 E Bell Rd
Ste 207
Scottsdale, AZ 85260-1502
Mailing address
4131 Directors Row
PO Box 925185
Houston, TX 77092-8703
Phone (713) 586-6778
National Provider Directory
National Provider DirectoryLocations
20940 N Tatum Blvd
Ste 290
Phoenix, AZ 85050
Phone (480) 538-2161
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Houston, TX
- NPI 1497850416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326844800000",
"number": "1437353018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 DIRECTORS ROW",
"address_2": "PO BOX 925185",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770928703",
"telephone_number": "713-586-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9377 E BELL RD",
"address_2": "STE 207",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601502",
"telephone_number": "480-538-2161",
"fax_number": "480-585-9961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATION & PAIN CENTER PHOENIX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2012-01-18",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JO ANN",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "713-586-6778",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "36513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.