Active NPI
Arete Recovery Institute
- Multi-Specialty Clinic/Center
- Mesa, AZ
National Provider Identifier
1619642170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ARETE RECOVERY INSTITUTE
- Practice address
- 16301 S. Ellsworth Rd.
Mesa, AZ 85212 - Phone
- (602) 793-3817
- NPI assigned
- Aug 16, 2021
- Last updated
- Aug 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Krawczyk
- Title
- Owner
- Phone
- (602) 793-3817
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Sports Physician Chiropractor | 111NS0005X | |||
| Specialist | 174400000X | |||
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Physical Therapist | 225100000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Athletic Trainer | 2255A2300X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
16301 S. Ellsworth Rd.
Mesa, AZ 85212
Mailing address
11011 S 48TH St Ste 108
Phoenix, AZ 85044-1787
Phone (602) 793-3817
Other practice location 1
11011 S 48th St Ste 108
Phoenix, AZ 85044-1787
Phone (602) 793-3817
National Provider Directory
National Provider DirectoryLocations
11011 S 48th St
Ste 108
Phoenix, AZ 85044
Phone (480) 893-2400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629072000000",
"number": "1619642170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11011 S 48TH ST STE 108",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850441787",
"telephone_number": "602-793-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16301 S. ELLSWORTH RD.",
"city": "MESA",
"state": "AZ",
"postal_code": "85212",
"telephone_number": "602-793-3817"
}
],
"practiceLocations": [
{
"address_1": "11011 S 48th St Ste 108",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850441787",
"country_code": "US",
"telephone_number": "602-793-3817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ARETE RECOVERY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-07-09",
"status": "A",
"authorized_official_last_name": "KRAWCZYK",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-793-3817"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.