NPIMap

Organization Active NPI

Rehab Arizona Physical and Hand Rehabilition

  • Specialist
  • Mesa, AZ
National Provider Identifier
1639386337
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5385 Issued in AZ
Legal business name
REHAB ARIZONA PHYSICAL AND HAND REHABILITION
Practice address
303 N Centennial Way
Mesa, AZ 85201-6733
Phone
(480) 649-3111
Fax
(480) 649-3113
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mrs. Cintya Marcella Diaz
Title
Billing
Phone
(480) 649-3111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 2478 AZ
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 5385 AZ Primary

Addresses

Primary practice location

303 N Centennial Way
Mesa, AZ 85201-6733

Mailing address

303 N Centennial Way
Mesa, AZ 85201-6733
Phone (480) 649-3111

Other identifiers 3

IdentifierTypeStateIssuer
153977OtherAZAHCCS
AZ0463540OtherAZBCBS ID NUMBER
2Z2223OtherAZHEALTHNET

National Provider Directory

National Provider Directory

Locations

725 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 892-2428

303 N Centennial Way
Mesa, AZ 85201
Phone (480) 649-3111

26500 Agoura Rd
Ste 102587
Calabasas, CA 91302
Phone (818) 880-8605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1639386337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CENTENNIAL WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016733",
            "telephone_number": "480-649-3111",
            "fax_number": "480-649-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CENTENNIAL WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016733",
            "telephone_number": "480-649-3111",
            "fax_number": "480-649-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ARIZONA PHYSICAL AND HAND REHABILITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CINTYA",
        "authorized_official_middle_name": "MARCELLA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "480-649-3111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "2478",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "5385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS",
            "identifier": "153977",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "AZ0463540",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z2223",
            "state": "AZ"
        }
    ],
    "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 Jan 8, 2008; 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.