Preferred Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PREFERRED REHAB LLC

Practice address

235 E Warner Rd Ste B104
Gilbert, AZ 85296-2972

Phone

(480) 633-3151

Fax

(480) 383-6076

NPI assigned

Apr 23, 2020

Last updated

Apr 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Gillen, DCNPI 1912188129

Title

Member

Phone

(480) 633-3151

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Stephen Andrew Gillen, D.C.

  • Chiropractor
  • Gilbert, AZ
  • NPI 1912188129
  NPD Authorized official

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1891315446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E WARNER RD STE B104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962972",
            "telephone_number": "480-633-3151",
            "fax_number": "480-383-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E WARNER RD STE B104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962972",
            "telephone_number": "480-633-3151",
            "fax_number": "480-383-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "GILLEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-633-3151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Verve LLC
• Premere Rehab LLC (Infinity Rehab)
• Premier Endoscopy ASC, LLC (Premier Endoscopy Center)
• Premier Endoscopy Center, LLC
• Premier Eyecare of Arizona, Inc.

• Chiropractor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.