Organization Active NPI

Arizona Family Health & Rehab Center, P C.

  • Clinic/Center
  • Mesa, AZ
National Provider Identifier
1659692432
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARIZONA FAMILY HEALTH & REHAB CENTER, P C.
Practice address
1824 W Plata Ave
Mesa, AZ 85202-8040
Phone
(602) 696-2225
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Dr. Andrew B AltmanNPI 1023012747
Title
Director
Phone
(602) 696-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1824 W Plata Ave
Mesa, AZ 85202-8040

Mailing address

PO Box 24959
Tempe, AZ 85285-4959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171005002888 AZ Part B Supplier - Clinic/Group Practice 0244505956 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ; Wickenburg, AZ

National Provider Directory

National Provider Directory

Locations

159 W Wickenburg Way
Ste 8
Wickenburg, AZ 85390
Phone (602) 696-2225

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": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1659692432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24959",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852854959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 W PLATA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852028040",
            "telephone_number": "602-696-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FAMILY HEALTH & REHAB CENTER, P C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-696-2225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.