True Rehab of Arizona,LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

OTC3718 Issued in AZ

Legal business name

TRUE REHAB OF ARIZONA,LLC

Practice address

297 Lake Havasu Ave S Ste 102
Lake Havasu City, AZ 86403-6526

Phone

(928) 453-0501

Fax

(928) 453-0502

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Tom Bennetch, P.T.NPI 1174638084

Title

Owner

Phone

(928) 453-0501

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tom D Bennetch, PT

  • Physical Therapist
  • Lake Havasu City, AZ
  • NPI 1174638084
  Medicare reassignment Care Compare group NPD Authorized official
• Stacy Beck, P.T.

  • Physical Therapist
  • Lake Havasu City, AZ
  • NPI 1194781542
  Medicare reassignment Care Compare group NPD
• Lara Goodell, P.T.A.

  • Physical Therapy Assistant
  • Lake Havasu City, AZ
  • NPI 1215276217
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1801941992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MESQUITE AVE STE 101",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035602",
            "telephone_number": "928-453-0501",
            "fax_number": "928-453-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 LAKE HAVASU AVE S STE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036526",
            "telephone_number": "928-453-0501",
            "fax_number": "928-453-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE REHAB OF ARIZONA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "BENNETCH",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-453-0501",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "OTC3718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Health & Wellness Family Practice PLLC
• Tristate Medical Specialists LLC (TriState Pain Institute)
• Natascha Eve Troehler, ANP-C
• Troyer Urgent Care, Inc.
• Randal L. Troyer, M.D.
• Truecare Urgent Care LLC
• James Tseng, M.D.
• Christopher Jackson Turnbull
• Megan Turner, LPN
• John C Twomey, P.T.

• Physical Therapy Clinic/Center in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.