NPIMap

Organization Active NPI

Az Body Mechanics- High St PLLC

  • Rehabilitation Chiropractor
  • Phoenix, AZ
National Provider Identifier
1437583853
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
7685 Issued in AZ
Legal business name
AZ BODY MECHANICS- HIGH ST PLLC
Practice address
5410 E High St
Suite 107
Phoenix, AZ 85054-5456
Phone
(480) 282-8485
Fax
(480) 323-2777
NPI assigned
Aug 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Stacey Dewolf, DC
Title
Owner
Phone
(480) 282-8485

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 7685 AZ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4369 AZ

Addresses

Primary practice location

5410 E High St
Suite 107
Phoenix, AZ 85054-5456

Mailing address

4127 E Pullman Rd
Cave Creek, AZ 85331-4007
Phone (480) 282-8485

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1437583853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 E PULLMAN RD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314007",
            "telephone_number": "480-282-8485",
            "fax_number": "480-323-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 E HIGH ST",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545456",
            "telephone_number": "480-282-8485",
            "fax_number": "480-323-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ BODY MECHANICS- HIGH ST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "DEWOLF",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-282-8485",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "7685",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2013; 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.