Nexus Physiatry

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NEXUS PHYSIATRY

Practice address

16845 N 29TH Ave Ste 1406
Phoenix, AZ 85053-0412

Phone

(520) 333-7785

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Justin Willey, MDNPI 1700233392

Title

President

Phone

(520) 333-7785

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Justin Willey, DO

  • Physical Medicine & Rehabilitation Physician
  • Loma Linda, CA
  • NPI 1700233392
  NPD Authorized official

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1649876103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852142510",
            "telephone_number": "602-432-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16845 N 29TH AVE STE 1406",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850530412",
            "telephone_number": "520-333-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS PHYSIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-333-7785",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080539",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nextcare Arizona LLC
• Nextcare Arizona LLC
• Nextcare Providers LLC
• Nexus Arizona LLC
• Nexus Mental Health LLC
• Nexus Wellness Clinic, LLC
• Nexus Wound Consultants LLC
• Roxana Neyra, M.D.
• Edwin Nez, LMT
• Nezerwa Homecare LLC

• Physical Medicine & Rehabilitation Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.