Organization Active NPI

Palo Brea Pain and Rehabilitation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Phoenix, AZ
National Provider Identifier
1457622789
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
40645 Issued in AZ
Legal business name
PALO BREA PAIN AND REHABILITATION
Practice address
3417 N 32ND St
Phoenix, AZ 85018-5606
Phone
(602) 368-3600
Fax
(602) 368-3235
NPI assigned
Jan 18, 2012
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
Dr. Jeffrey Douglas Scott, M.D.NPI 1619998168
Title
Owner
Phone
(602) 368-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 40645 AZ Primary

Addresses

Primary practice location

3417 N 32ND St
Phoenix, AZ 85018-5606

Mailing address

3417 N 32ND St
Phoenix, AZ 85018-5606
Phone (602) 368-3600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1457622789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185606",
            "telephone_number": "602-368-3600",
            "fax_number": "602-368-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185606",
            "telephone_number": "602-368-3600",
            "fax_number": "602-368-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO BREA PAIN AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-368-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "40645",
            "primary": true
        }
    ],
    "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 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.