Rebel Enterprise LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

REBEL ENTERPRISE LLC

Doing business as

The Foot

Practice address

2855 E Brown Rd Ste 18
Mesa, AZ 85213-4216

Phone

(602) 345-0063

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Jared Leber, DPMNPI 1104270024

Title

Podiatrist

Phone

(602) 686-9594

Specialties & licenses 1

Addresses

Other names 1

• The Foot Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

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

• Jared Edward Leber, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1104270024

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1467147546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 N ORCHARD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852132090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD STE 18",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134216",
            "telephone_number": "602-345-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "LEBER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "602-686-9594",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Lynne Reader, SLPA
• Lawrence Robert Reader Jr., M.D.
• Real Health Partnership PLLC
• Barbara Marie Reardon II
• Rebalance Psychiatry, PLLC
• Jennifer Lynn Reber, BSN, RN
• Lauren Terese Rebman, PMHNP-BC
• Reboot Detox Az LLC
• Marie Noelle M Recalde, FNP-C
• Reclaim Self Counseling, LLC

• Podiatric Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Podiatric Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.