NPIMap

Organization Active NPI

Saguaro Health Care

Doing business as Active Rehabilitation, Inc.

  • Physical Therapist
  • Sun City West, AZ
National Provider Identifier
1558440495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SAGUARO HEALTH CARE
Doing business as
Active Rehabilitation, Inc.
Practice address
19424 N R H Johnson Blvd
Sun City West, AZ 85375-1409
Phone
(623) 546-4449
Fax
(623) 546-4480
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jacqueline Rose
Title
Administrator
Phone
(623) 546-4449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

19424 N R H Johnson Blvd
Sun City West, AZ 85375-1409

Mailing address

19424 N R H Johnson Blvd
Sun City West, AZ 85375-1409
Phone (623) 546-4449

Other identifiers 1

IdentifierTypeStateIssuer
809452MedicaidAZ

Other names 1

  • Active Rehabilitation, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1331 N 7th St
#160
Phoenix, AZ 85006
Phone (623) 546-4449

19424 N R H Johnson Blvd
Sun City West, AZ 85375
Phone (623) 546-4449

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558440495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19424 N R H JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853751409",
            "telephone_number": "623-546-4449",
            "fax_number": "623-546-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19424 N R H JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853751409",
            "telephone_number": "623-546-4449",
            "fax_number": "623-546-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-546-4449",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809452",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Rehabilitation, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.