Active NPI
Work Injury Center, LLC
- Primary Care Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1881288702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- WORK INJURY CENTER, LLC
- Practice address
- 3201 W Peoria Ave Ste B301
Phoenix, AZ 85029-4618 - Phone
- (602) 767-7788
- Fax
- (602) 610-6981
- NPI assigned
- Feb 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Davis
- Title
- Ceo
- Phone
- (323) 219-8124
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
3201 W Peoria Ave Ste B301
Phoenix, AZ 85029-4618
Mailing address
3201 W Peoria Ave Ste B301
Phoenix, AZ 85029-4618
Phone (602) 767-7788
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613952000000",
"number": "1881288702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 W PEORIA AVE STE B301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294618",
"telephone_number": "602-767-7788",
"fax_number": "602-610-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W PEORIA AVE STE B301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294618",
"telephone_number": "602-767-7788",
"fax_number": "602-610-6981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORK INJURY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-219-8124"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.