Active NPI
Lifequest Holding Company, LLC
- Physical Medicine & Rehabilitation Physician
- Chandler, AZ
National Provider Identifier
1639783533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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, 2020
- 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
- Bri Malone
- Title
- Billing Specialist
- Phone
- (480) 659-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryNPI 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
- Life Journey Psychiatric PLLC
- Life Solutions Integrated Health Services, LLC.
- Lifeline at Alphaomega
- Lifeline Professional Counseling Services, Inc
- Lifequest Chiropractic and Massage, LLC
- Lifequest Physical Medicine and Rehab (Chandler Ray 2, LLC)
- Lifequest Physical Medicine and Rehab
- Lifequest Physical Medicine and Rehab (Chandler Ray 3, LLC)
- Lifestyle Family Medicine LLC
- Lifetime Cardiovascular, PLC
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.