Organization Active NPI

Fusion Rehabilitation PLLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1932273109
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5435 Issued in AZ
Legal business name
FUSION REHABILITATION PLLC
Practice address
2418 E Danbury Rd
Phoenix, AZ 85032-2425
Phone
(602) 569-5656
Fax
(602) 569-6119
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Jonathan Isaac Schibel, PTNPI 1649275900
Title
Manager
Phone
(602) 569-5656

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5893 AZ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5435 AZ Primary

Addresses

Primary practice location

2418 E Danbury Rd
Phoenix, AZ 85032-2425

Mailing address

2418 E Danbury Rd
Phoenix, AZ 85032-2425
Phone (602) 569-5656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000157 AZ Part B Supplier - Clinic/Group Practice 4284603234 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3607 E Bell Rd
Ste 7
Phoenix, AZ 85032
Phone (602) 569-5656

2418 E Danbury Rd
Phoenix, AZ 85032
Phone (602) 256-5656

Practitioners & affiliated clinicians

Practitioners 5

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1932273109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 E DANBURY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322425",
            "telephone_number": "602-569-5656",
            "fax_number": "602-569-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E DANBURY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322425",
            "telephone_number": "602-569-5656",
            "fax_number": "602-569-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "SCHIBEL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-569-5656",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5893",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5435",
            "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 Sep 23, 2009; 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.