NPIMap

Organization Active NPI

Lifequest Physical Medicine and Rehab

  • Medical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1891179552
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4749 Issued in AZ
Legal business name
LIFEQUEST PHYSICAL MEDICINE AND REHAB
Practice address
1050 E. Ray Rd Ste 4-a
Chandler, AZ 85225
Phone
(480) 659-2000
Fax
(480) 659-2123
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Dr. Craig ScharfNPI 1326005984
Title
Owner
Phone
(480) 659-2000

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X AZ7289 AZ
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 4749 AZ Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN115293 AR

Addresses

Primary practice location

1050 E. Ray Rd Ste 4-a
Chandler, AZ 85225

Mailing address

1050 E Ray Rd Ste 4a
Chandler, AZ 85225-1777
Phone (480) 659-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150922000488 AZ Part B Supplier - Clinic/Group Practice 7416264536 Receives reassigned benefits from 12 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1891179552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E RAY RD STE 4A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251777",
            "telephone_number": "480-659-2000",
            "fax_number": "480-659-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E. RAY RD STE 4-A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85225",
            "telephone_number": "480-659-2000",
            "fax_number": "480-659-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEQUEST PHYSICAL MEDICINE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "SCHARF",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-659-2000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ7289",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4749",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "RN115293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.