NPIMap

Organization Active NPI

Phytcare LLC

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
National Provider Identifier
1730359498
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYTCARE LLC
Practice address
2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215-1215
Phone
(800) 849-5609
Fax
(910) 864-9762
NPI assigned
Mar 8, 2008
Organization subpart
Yes
Parent organization
NEXTCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Laurel Stoimenoff
Title
President
Phone
(480) 924-8382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215-1215

Mailing address

PO Box 41007
Fayetteville, NC 28309-1007
Phone (800) 849-5609

Other names 1

  • NextCare Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Nextcare Inc Sole MBR11 organizations share this tax ID, including this one
Part of
Matrix Occupational Health

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1730359498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41007",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283091007",
            "telephone_number": "800-849-5609",
            "fax_number": "910-864-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 N THUNDERBIRD CIR",
            "address_2": "STE 303",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151215",
            "telephone_number": "800-849-5609",
            "fax_number": "910-864-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYTCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEXTCARE INC",
        "enumeration_date": "2008-03-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "STOIMENOFF",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-924-8382"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NextCare Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.