Organization Active NPI

Preferred Pain and Rehabilitation Center, LLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1699902270
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5531 Issued in AZ
Legal business name
PREFERRED PAIN AND REHABILITATION CENTER, LLC
Practice address
2813 E Camelback Rd
Suite 430
Phoenix, AZ 85016-4325
Phone
(602) 507-6550
Fax
(602) 759-1741
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Vicki Belt
Title
Manager/Member
Phone
(602) 507-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5531 AZ Primary

Addresses

Primary practice location

2813 E Camelback Rd
Suite 430
Phoenix, AZ 85016-4325

Mailing address

PO Box 29661
Dept. # 2057
Phoenix, AZ 85038-9661
Phone (602) 507-6550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1699902270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29661",
            "address_2": "DEPT. # 2057",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389661",
            "telephone_number": "602-507-6550",
            "fax_number": "602-759-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 E CAMELBACK RD",
            "address_2": "SUITE 430",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164325",
            "telephone_number": "602-507-6550",
            "fax_number": "602-759-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PAIN AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "BELT",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "602-507-6550"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.