Organization Active NPI

Lifequest Holding Company, LLC

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
National Provider Identifier
1639783533
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LIFEQUEST HOLDING COMPANY, LLC
Practice address
1050 E Ray Rd Ste 4a
Chandler, AZ 85225-1777
Phone
(480) 659-2000
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Bri Malone
Title
Billing Specialist
Phone
(480) 659-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1050 E Ray Rd Ste 4a
Chandler, AZ 85225-1777

Mailing address

1050 E Ray Rd Ste 4a
Chandler, AZ 85225-1777
Phone (480) 659-2000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1639783533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E RAY RD STE 4A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251777",
            "telephone_number": "480-659-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E RAY RD STE 4A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251777",
            "telephone_number": "480-659-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEQUEST HOLDING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "BRI",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "480-659-2000"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

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