Organization Active NPI

SW Physical Medicine and Rehabilitation, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
National Provider Identifier
1760995294
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
47934 Issued in AZ
Legal business name
SW PHYSICAL MEDICINE AND REHABILITATION, PLLC
Practice address
2650 N Wyatt Dr
Tucson, AZ 85712-6106
Phone
(520) 325-1300
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Rebecca Teresa Armendariz, MD
Title
Owner
Phone
(804) 386-9181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 47934 AZ Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081H0002X 47934 AZ

Addresses

Primary practice location

2650 N Wyatt Dr
Tucson, AZ 85712-6106

Mailing address

65 View Dr
Sedona, AZ 86336-5503
Phone (804) 386-9181

Other identifiers 4

IdentifierTypeStateIssuer
12172540OtherCAQH NUMBER
835234MedicaidAZ
1073773818OtherINDIV NPI #
1760995294OtherAZNPI TYPE 2

Other names 1

  • Rebecca T. Armendariz, MD, PLLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1760995294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 VIEW DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365503",
            "telephone_number": "804-386-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126106",
            "telephone_number": "520-325-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW PHYSICAL MEDICINE AND REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ARMENDARIZ",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-386-9181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "47934",
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "47934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "12172540",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "835234",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI #",
            "identifier": "1073773818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1760995294",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca T. Armendariz, MD, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 16, 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.