Lifequest Physical Medicine and Rehab

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LIFEQUEST PHYSICAL MEDICINE AND REHAB

Doing business as

Gilbert Recker 3, LLC

Practice address

4049 E. Williams Field Rd. Suite 101
Gilbert, AZ 85295

Phone

(480) 659-2000

NPI assigned

Sep 9, 2020

Last updated

Sep 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susie Dwyer

Title

Billing Specialist

Phone

(480) 659-2000

Specialties & licenses 1

Addresses

Other names 1

• Gilbert Recker 3, LLC Doing business as

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1710592571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 E. WILLIAMS FIELD RD. SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 E. WILLIAMS FIELD RD. SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-659-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEQUEST PHYSICAL MEDICINE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "480-659-2000"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilbert Recker 3, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Liberty, SLPA
• Stacy Lynn Libricz, PA-C
• Corinne Nzessi Lienou
• Life Balance Counseling, LLC
• Lifequest Holding Company Gilbert, LLC
• Lifesong Counseling Center, LLC
• Lifespan Healthcare
• Lifespann Enhanced Skin & Body Care, PLLC (LifeSpann Primary Care & Esthetics)
• Lifetime Chiropractic LLC
• Lifetime Family Dental

• Physical Medicine & Rehabilitation Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.