Organization Active NPI

Chandler Pain Medicine & Physical Therapy, LLC

  • Adult Health Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1457708034
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP8549 Issued in AZ
Legal business name
CHANDLER PAIN MEDICINE & PHYSICAL THERAPY, LLC
Practice address
1055 W Queen Creek Rd
Ste. #2
Chandler, AZ 85248-8134
Phone
(480) 814-1023
Fax
(480) 814-7792
NPI assigned
May 24, 2016
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED BACK AND NECK, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
David Voyer
Title
Sole Member
Phone
(480) 299-5700

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0987 AZ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 32912 AZ
Physical Therapist 225100000X 8894 AZ
Nurse Practitioner 363L00000X AP7638 AZ
Adult Health Nurse Practitioner 363LA2200X AP8549 AZ Primary
Gerontology Nurse Practitioner 363LG0600X AP4912 AZ

Addresses

Primary practice location

1055 W Queen Creek Rd
Ste. #2
Chandler, AZ 85248-8134

Mailing address

8351 E Tailfeather Dr
Scottsdale, AZ 85255-6459
Phone (480) 299-5700

National Provider Directory

National Provider Directory
Part of
Advanced Back and Neck LLC

Locations

1055 W Queen Creek Rd
Ste 2
Chandler, AZ 85248
Phone (480) 285-9322

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1457708034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8351 E TAILFEATHER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556459",
            "telephone_number": "480-299-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W QUEEN CREEK RD",
            "address_2": "STE. #2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852488134",
            "telephone_number": "480-814-1023",
            "fax_number": "480-814-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER PAIN MEDICINE & PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED BACK AND NECK, LLC",
        "enumeration_date": "2016-05-24",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "VOYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "480-299-5700"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0987",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "32912",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8894",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP7638",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP8549",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP4912",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.