Active NPI
Pioneer Sports and Spine PLLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Gilbert, AZ
National Provider Identifier
1730505017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- PIONEER SPORTS AND SPINE PLLC
- Practice address
- 4915 E Baseline Rd Ste 108
Gilbert, AZ 85234-2966 - Phone
- (480) 249-5525
- Fax
- (888) 990-2056
- NPI assigned
- Mar 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek C Higgins
- Title
- President
- Phone
- (480) 249-5525
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | AZ | Primary |
Addresses
Primary practice location
4915 E Baseline Rd Ste 108
Gilbert, AZ 85234-2966
Mailing address
4915 E Baseline Rd Ste 108
Gilbert, AZ 85234-2966
Phone (480) 249-5525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4915 E Baseline Rd
Ste 108
Gilbert, AZ 85234
Phone (480) 249-5525
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Gilbert, AZ
- NPI 1568611655
-
- Primary Care Nurse Practitioner
- Gilbert, AZ
- NPI 1952892655
-
- Medical Physician Assistant
- Gilbert, AZ
- NPI 1508190760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781654400000",
"number": "1730505017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 E BASELINE RD STE 108",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342966",
"telephone_number": "480-249-5525",
"fax_number": "888-990-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 E BASELINE RD STE 108",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342966",
"telephone_number": "480-249-5525",
"fax_number": "888-990-2056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER SPORTS AND SPINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-11",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A",
"authorized_official_last_name": "HIGGINS",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-249-5525"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "AZ",
"license": null,
"primary": true
}
],
"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 Jun 17, 2026; 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.