NPIMap

Organization Active NPI

Rehab Arizona Neuro Rehabilitation, LLC

Doing business as National Neuro

  • Rehabilitation Clinic/Center
  • Mesa, AZ
National Provider Identifier
1851359145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHAB ARIZONA NEURO REHABILITATION, LLC
Doing business as
National Neuro
Practice address
2919 S Ellsworth Rd
Ste 111
Mesa, AZ 85212-2144
Phone
(866) 817-1788
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alan Dean Campbell
Title
President
Phone
(704) 831-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2919 S Ellsworth Rd
Ste 111
Mesa, AZ 85212-2144

Mailing address

2725 Water Ridge Pkwy
Ste 300
Charlotte, NC 28217-4580
Phone (704) 831-5050

Other names 1

  • National Neuro Doing business as

National Provider Directory

National Provider Directory

Locations

2919 S Ellsworth Rd
Ste 111
Mesa, AZ 85212
Phone (480) 564-1185

2725 Water Ridge Pkwy
#300
Charlotte, NC 28217

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851359145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 WATER RIDGE PKWY",
            "address_2": "STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174580",
            "telephone_number": "704-831-5050",
            "fax_number": "704-831-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122144",
            "telephone_number": "866-817-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ARIZONA NEURO REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-831-5050"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Neuro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.