NPIMap

Organization Active NPI

Neurofit Networks Inc

Doing business as Parkinson Wellness Recovery

  • Rehabilitation Clinic/Center
  • Tucson, AZ
National Provider Identifier
1720455744
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
0018 Issued in AZ
Legal business name
NEUROFIT NETWORKS INC
Doing business as
Parkinson Wellness Recovery
Practice address
4343 N Oracle Rd Ste 173
Tucson, AZ 85705-1764
Phone
(520) 591-5346
Fax
(888) 780-0154
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Becky Gwen Farley, PT, MS, PHDNPI 1841442100
Title
Ceo/Founder
Phone
(520) 591-5821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 0018 AZ Primary

Addresses

Primary practice location

4343 N Oracle Rd Ste 173
Tucson, AZ 85705-1764

Mailing address

3849 E Broadway Blvd Ste 163
Tucson, AZ 85716-5407
Phone (520) 591-5346

Other names 1

  • Parkinson Wellness Recovery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160829002725 AZ Part B Supplier - Clinic/Group Practice 9638464639 Receives reassigned benefits from 5 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

3849 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 235-5259

140 W Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 591-5346

4343 N Oracle Rd
Ste 173
Tucson, AZ 85705
Phone (520) 591-5346

Practitioners & affiliated clinicians

Practitioners 8

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": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1720455744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 E BROADWAY BLVD STE 163",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165407",
            "telephone_number": "520-591-5346",
            "fax_number": "888-780-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 N ORACLE RD STE 173",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051764",
            "telephone_number": "520-591-5346",
            "fax_number": "888-780-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROFIT NETWORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "GWEN",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "520-591-5821",
        "authorized_official_credential": "PT, MS, PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AZ",
            "license": "0018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkinson Wellness Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkinson Wellness Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.