Phoenix Rizing Inc.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

PHOENIX RIZING INC.

Practice address

15565 Northland Dr E Ste 901
Southfield, MI 48075-5331

Phone

(947) 282-6941

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Samantha Evans

Title

President

Phone

(947) 282-6941

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1922511971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR E STE 901",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755331",
            "telephone_number": "947-282-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR E STE 901",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755331",
            "telephone_number": "947-282-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RIZING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "947-282-6941"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Phillips, LMSW
• Anya Phillips
• Jennifer Lynne Phillips, RN
• Phoenix Empowerment Services LLC
• Phoenix Medical Group, P.C.
• Physical Medicine and Wellness PC
• Physical Medicine Consultants PC
• Physical Medicine, P.C.
• Physical Therapy and Fitness LLC
• Physical Therapy Services, Inc.

• Community Health Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.