NPIMap

Center for Orthopedic Research and Education

Organization Active NPI Physical Therapist · Sun City West, AZ

NPI 1619299609 · NPPES record last updated Jan 17, 2014

Key facts

NPI
1619299609
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION
Practice address
14520 W Granite Valley Dr
Ste 110
Sun City West, AZ 85375-5855
Phone
(623) 537-5600
Fax
(866) 939-2673
NPI assigned
Feb 18, 2010
Organization subpart
Yes
Parent organization (as reported)
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION

Authorized official

Name
Dr. David J Jacofsky, MD
Title
Chairman/Ceo
Phone
(623) 537-5600

Corporate family (same tax ID) 23

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

National Provider Directory

Tax ID family
Center for Orthopedic Research and Education LLC (24 organizations share this tax ID)
Part of
Center for Orthopedic Research and Education LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X

Addresses

Primary practice location

14520 W Granite Valley Dr
Ste 110
Sun City West, AZ 85375-5855

Mailing address

18444 N 25TH Ave
Ste 310
Phoenix, AZ 85023-1261
Phone (623) 537-5600

Other identifiers

IdentifierTypeStateIssuer
341246MedicaidAZ

Other names

  • The CORE Institute Doing business as

Other providers in Sun City West, AZ

All providers in Sun City West, AZ · Physical Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.