Afc Physical Medicine of Mesa, PLLC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Mesa, AZ
NPI 1659645679 · NPPES record last updated Dec 8, 2017
Key facts
- NPI
- 1659645679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- AFC PHYSICAL MEDICINE OF MESA, PLLC
- Practice address
- 3130 E Baseline Rd
Suite 107
Mesa, AZ 85204-7290 - Phone
- (480) 345-1980
- Fax
- (480) 926-1721
- NPI assigned
- Mar 8, 2012
- Organization subpart
- No
Authorized official
- Name
- Joshua F. Bock
- Title
- Managing Member
- Phone
- (480) 726-2287
Subparts reporting this organization as parent 1
Practitioners 77
-
Jennifer Lavonne Forbes, D.C.
-
Janet M Pragit, D.O.
-
Thomas Wesley Schrimsher, D.C.
-
Linzie Gaddie, PA-C
-
Gianni Moshero, P.A.
-
Clifford R Ball, MD
-
Joshua Frederick Bock, D.C.
-
Joel G Cohen, M.D.
-
Paul W Dickerson, D.C., LTD
-
Todd Maxwell Dreitzler, M.D.
-
Todd Cameron Forbes, D.C.
-
Dana M Garner, NP
-
Benjamin Glasman, D.C
-
Victoria Marie Kes, D.C.
-
Shawn McGarvey, APRN
-
Jace L Nybo, DC
-
Vanessa R. Olds, PA-C
-
Michone Ouellette, D.C.
-
Eathyn Peterson, DC, ATC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120426000510 | AZ | Part B Supplier - Clinic/Group Practice | 8123280716 |
Receives reassigned benefits from 75 practitioners Practice locations: Mesa, AZ |
| O20140408000424 | AZ | DME Supplier - Physician - Unknown Physician Specialty | 8123280716 | Practice locations: Mesa, AZ |
National Provider Directory
Locations
3100 N Alma School Rd
Ste 280
Chandler, AZ 85224
20860 N Tatum Blvd
Ste 290
Phoenix, AZ 85050
Phone (480) 563-1144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7046960001 | AZ |
Addresses
Primary practice location
3130 E Baseline Rd
Suite 107
Mesa, AZ 85204-7290
Mailing address
1839 S Alma School Rd Ste 354
Mesa, AZ 85210-3028
Phone (480) 726-2287
Other providers in Mesa, AZ
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- Aegis Hospice, Inc
- Aesthetic Family Dental Care
- Afa Institute
- Afc of East Mesa, PLLC
- Afc Physical Medicine of Mesa, PLLC
- Affiliated Pro Monitoring, LLC
- Affinity Family Care, LLC.
- Affordable Dentures - Mesa, P.C.
- Affordable Dentures & Implants - Mesa II, P.C.
All providers in Mesa, AZ · Physical Medicine & Rehabilitation Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.