NPIMap

Organization Active NPI

Independent by Design LLC

  • Specialist
  • Gilbert, AZ
National Provider Identifier
1700467370
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INDEPENDENT BY DESIGN LLC
Practice address
1338 W Seascape Dr
Gilbert, AZ 85233-5633
Phone
(480) 416-4675
Fax
(877) 598-9763
NPI assigned
Apr 15, 2021
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Lori DelabioNPI 1649216482
Title
Owner
Phone
(480) 416-4675

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

1338 W Seascape Dr
Gilbert, AZ 85233-5633

Mailing address

1338 W Seascape Dr
Gilbert, AZ 85233-5633
Phone (480) 416-4675

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1700467370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 W SEASCAPE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335633",
            "telephone_number": "480-416-4675",
            "fax_number": "877-598-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 W SEASCAPE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335633",
            "telephone_number": "480-416-4675",
            "fax_number": "877-598-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT BY DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "DELABIO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-416-4675"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.