NPIMap

Organization Active NPI

Associated Rehabilitation Physical and Occupational Therapy, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Yuma, AZ
National Provider Identifier
1871031583
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
28377 Issued in AZ
Legal business name
ASSOCIATED REHABILITATION PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
Practice address
2851 S Avenue B Ste 2402
Yuma, AZ 85364-7726
Phone
(928) 782-5588
Fax
(928) 782-5755
NPI assigned
Feb 2, 2017
Last updated
Dec 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Anna Michelle Ebey, PTNPI 1306947601
Title
Ceo
Phone
(928) 782-5588

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 28377 AZ Primary

Addresses

Primary practice location

2851 S Avenue B Ste 2402
Yuma, AZ 85364-7726

Mailing address

2851 S Avenue B Ste 2402
Yuma, AZ 85364-7726
Phone (928) 782-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170406000973 AZ Part B Supplier - Clinic/Group Practice 6204112261 Receives reassigned benefits from 4 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

2581 S Ave B Ste 2402
Yuma, AZ 85364

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1871031583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B STE 2402",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-782-5588",
            "fax_number": "928-782-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B STE 2402",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-782-5588",
            "fax_number": "928-782-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED REHABILITATION PHYSICAL AND OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "EBEY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-782-5588",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "28377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.