Southwest Sports Medicine and Rehabilitation LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SOUTHWEST SPORTS MEDICINE AND REHABILITATION LLC

Practice address

3330 N 2ND St Ste 401
Phoenix, AZ 85012-2371

Phone

(602) 606-9619

NPI assigned

Jun 18, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Mendias, PHD, ATCNPI 1578536447

Title

Owner

Phone

(602) 606-9619

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL Therapy and Balance Center Phoenix Midtown Doing business as

Locations

Practitioners 1

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

• Christopher Mendias, PHD, ATC

  • Athletic Trainer
  • Phoenix, AZ
  • NPI 1578536447
  NPD Authorized official

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1811628191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2253",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850022253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST STE 401",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122371",
            "telephone_number": "602-606-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SPORTS MEDICINE AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-18",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "MENDIAS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-606-9619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ATC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy and Balance Center Phoenix Midtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Phoenix Urgent Care LLC
• Southwest Physiatry PLLC
• Southwest Skin Specialists LLC
• Southwest Sleep Disorders Lab LLC
• Southwest Spine and Orthopedic Center PLLC
• Southwest Surgery Services, LLC
• Southwest Therapy Specialists, P.C.
• Southwest Wellness Group, LLC
• Southwestern Cardiovascular and Thoracic Surgeons LTD
• Southwestern Eye Center LTD

• Multi-Specialty Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.