Organization Active NPI

Valley Physical Medicine & Rehabilitation, P C

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1508819228
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
VALLEY PHYSICAL MEDICINE & REHABILITATION, P C
Practice address
222 W Thomas Rd Ste 114
Phoenix, AZ 85013-4420
Phone
(602) 406-4578
Fax
(602) 406-6302
NPI assigned
May 17, 2006
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Jennifer Ann Franks-Mitchell Jauregui
Title
Practice Manager
Phone
(602) 406-4578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

222 W Thomas Rd Ste 114
Phoenix, AZ 85013-4420

Mailing address

222 W Thomas Rd
Ste 114
Phoenix, AZ 85013
Phone (602) 406-6304

Other identifiers 1

IdentifierTypeStateIssuer
Z66051OtherAZMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

114 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 225-6000

222 W Thomas Rd
Ste 114
Phoenix, AZ 85013
Phone (602) 406-4578

222 W Thomas Rd
Ste 212
Phoenix, AZ 85013
Phone (602) 406-3172

Practitioners & affiliated clinicians

Practitioners 4

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1508819228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W THOMAS RD",
            "address_2": "STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "602-406-6304",
            "fax_number": "602-406-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W THOMAS RD STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134420",
            "telephone_number": "602-406-4578",
            "fax_number": "602-406-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICAL MEDICINE & REHABILITATION, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "FRANKS-MITCHELL JAUREGUI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "602-406-4578"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z66051",
            "state": "AZ"
        }
    ],
    "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 Oct 25, 2022; 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.