NPIMap

Organization Active NPI

Mountainside Fitness Acquisitions, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Scottsdale, AZ
National Provider Identifier
1497344931
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
MOUNTAINSIDE FITNESS ACQUISITIONS, LLC
Practice address
5320 E Shea Blvd
Scottsdale, AZ 85254-4793
Phone
(480) 306-4401
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Eileen Ahern
Title
Credentialist
Phone
(800) 954-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

5320 E Shea Blvd
Scottsdale, AZ 85254-4793

Mailing address

7135 E Camelback Rd
Scottsdale, AZ 85251-1262
Phone (480) 706-8963

National Provider Directory

National Provider Directory
Tax ID family
Mountainside Fitness Acquisitions LLC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

7135 E Camelback Rd
Scottsdale, AZ 85251
Phone (480) 706-8963

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1497344931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 E CAMELBACK RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511262",
            "telephone_number": "480-706-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544793",
            "telephone_number": "480-306-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE FITNESS ACQUISITIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "CREDENTIALIST",
        "authorized_official_telephone_number": "800-954-1800"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.