Organization Active NPI

Rehabilitation & Pain Center Phoenix LLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
National Provider Identifier
1437353018
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
36513 Issued in AZ
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.