NPIMap

Organization Active NPI

Physical Medicine of Scottsdale, LLC

Doing business as Arizona Pain Relief

  • General Practice Physician
  • Scottsdale, AZ
National Provider Identifier
1558710152
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9056 Issued in AZ
Legal business name
PHYSICAL MEDICINE OF SCOTTSDALE, LLC
Doing business as
Arizona Pain Relief
Practice address
10605 N Hayden Rd
Suite G110
Scottsdale, AZ 85260-5686
Phone
(623) 551-9950
NPI assigned
Jun 6, 2016
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. Justin Thompson, DCNPI 1851797179
Title
Manager
Phone
(435) 760-5896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9056 AZ
General Practice Physician 208D00000X 9056 AZ Primary
Pain Medicine Physician 208VP0000X

Addresses

Primary practice location

10605 N Hayden Rd
Suite G110
Scottsdale, AZ 85260-5686

Mailing address

10605 N Hayden Rd
Suite G110
Scottsdale, AZ 85260-5686
Phone (480) 443-2584

Other names 1

  • Arizona Pain Relief Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1558710152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 N HAYDEN RD",
            "address_2": "SUITE G110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605686",
            "telephone_number": "480-443-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 N HAYDEN RD",
            "address_2": "SUITE G110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605686",
            "telephone_number": "623-551-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE OF SCOTTSDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-760-5896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "9056",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "9056",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Pain Relief",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arizona Pain Relief",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 8, 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.