Lifequest Physical Medicine and Rehab

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LIFEQUEST PHYSICAL MEDICINE AND REHAB

Doing business as

Chandler Ray 3, LLC

Practice address

1050 E Ray Rd Ste 4a
Chandler, AZ 85225-1777

Phone

(480) 659-2000

NPI assigned

Sep 9, 2020

Last updated

Sep 28, 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

Bri Malone

Title

Billing Specialist

Phone

(480) 659-2000

Specialties & licenses 1

Addresses

Other names 1

• Chandler Ray 3, LLC Doing business as

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1902411762",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E RAY RD STE 4A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251777",
            "telephone_number": "480-659-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEQUEST PHYSICAL MEDICINE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "BRI",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "480-659-2000"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Ray 3, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lifequest Holding Company, LLC
• Lifequest Physical Medicine and Rehab (Chandler Ray 2, LLC)
• Lifequest Physical Medicine and Rehab
• Lifestyle Family Medicine LLC
• Lifetime Cardiovascular, PLC
• Lifetime Wellness Center (Sports Therapy USA)
• Mallory Light
• Lilac Healthcare LLC (Lilac Ob-Gyn)

• Physical Medicine & Rehabilitation Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.