Active NPI
Tucson Rehabilitation Medicine Associates, PC
- Physical Medicine & Rehabilitation Physician
- Tucson, AZ
National Provider Identifier
1689871956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 26973
- Legal business name
- TUCSON REHABILITATION MEDICINE ASSOCIATES, PC
- Practice address
- 1921 W Hospital Dr
Tucson, AZ 85704-7806 - Phone
- (520) 544-5210
- Fax
- (520) 544-5355
- NPI assigned
- Jun 29, 2007
- Last updated
- Jan 10, 2012
- 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
- Dr. Jeffrey S. Wick, M.D.
- Title
- President
- Phone
- (520) 544-5210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 26973 | AZ | Primary |
Addresses
Primary practice location
1921 W Hospital Dr
Tucson, AZ 85704-7806
Mailing address
1921 W Hospital Dr
Tucson, AZ 85704-7806
Phone (520) 544-5210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 447038 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326153600000",
"number": "1689871956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 W HOSPITAL DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857047806",
"telephone_number": "520-544-5210",
"fax_number": "520-544-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 W HOSPITAL DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857047806",
"telephone_number": "520-544-5210",
"fax_number": "520-544-5355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUCSON REHABILITATION MEDICINE ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-29",
"last_updated": "2012-01-10",
"status": "A",
"authorized_official_last_name": "WICK",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-544-5210",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "26973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "447038",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Tucson Plastic Surgery (Chaotiq Endeavors)
- Tucson Psychiatry PLLC
- Tucson Pulmonology, P.C.
- Tucson Rehabilitation Hospital LLC (Tucson Rehabilitation Hospital)
- Tucson Rehabilitation Hospital LLC (Tucson Rehabilitation Hospital)
- Tucson Residence Foundation Inc.
- Tucson Senior Care Home LLC
- Tucson Senior Care Homes LLC
- Tucson Senior Dentistry (Steven F. Kammeyer)
- Tucson Serenity Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.