Spa-Aaah at Regent Healthcare, Inc

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

4276 Issued in AZ

Legal business name

SPA-AAAH AT REGENT HEALTHCARE, INC

Practice address

4110 N Scottsdale Rd Ste 325
Scottsdale, AZ 85251-4423

Phone

(480) 609-4244

Fax

(480) 609-4382

NPI assigned

Jun 28, 2011

Organization subpart

No

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

Authorized official

Name

Shawn M Meyer

Title

Owner

Phone

(480) 234-9436

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1447547401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 N SCOTTSDALE RD STE 325",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514423",
            "telephone_number": "480-609-4244",
            "fax_number": "480-609-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 N SCOTTSDALE RD STE 325",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514423",
            "telephone_number": "480-609-4244",
            "fax_number": "480-609-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA-AAAH AT REGENT HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-234-9436"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "AZ",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.