NPIMap

Organization Active NPI

Valley Rehabilitation of Sun City

Doing business as Valley Rehabilitation of Sun City West, LLC

  • Physical Medicine & Rehabilitation Physician
  • Sun City West, AZ
National Provider Identifier
1942728340
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
VALLEY REHABILITATION OF SUN CITY
Doing business as
Valley Rehabilitation of Sun City West, LLC
Practice address
14418 W Meeker Blvd Ste 103
Sun City West, AZ 85375-5290
Phone
(623) 546-6712
Fax
(623) 546-6739
NPI assigned
Sep 6, 2017
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Melissa Rodriguez
Title
Credentialing & Office Manager
Phone
(623) 546-6712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

14418 W Meeker Blvd Ste 103
Sun City West, AZ 85375-5290

Mailing address

14418 W Meeker Blvd Ste 103
Sun City West, AZ 85375-5290
Phone (623) 546-6712

Other identifiers 8

IdentifierTypeStateIssuer
719049OtherAZAHCCCS
4428261OtherAZAETNA
1161706OtherAZASH
326111OtherAZAHCCCS
P00121650OtherAZRAILROAD MEDICARE
P02039084OtherAZRAILROAD MEDICARE
2Z2293OtherAZHEALTH NET
326111MedicaidAZ

Other names 1

  • Valley Rehabilitation of Sun City West, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180403002809 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446513436 Receives reassigned benefits from 9 practitioners
Practice locations: Peoria, AZ; Sun City West, AZ

National Provider Directory

National Provider Directory

Locations

14300 W Granite Valley Dr
Sun City West, AZ 85375
Phone (623) 203-9147

14300 W Granite Valley Dr
Ste E21
Sun City West, AZ 85375
Phone (623) 546-6712

14418 W Meeker Blvd
Ste 103
Sun City West, AZ 85375
Phone (623) 546-6712

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1942728340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD STE 103",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755290",
            "telephone_number": "623-546-6712",
            "fax_number": "623-546-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD STE 103",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755290",
            "telephone_number": "623-546-6712",
            "fax_number": "623-546-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY REHABILITATION OF SUN CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING & OFFICE MANAGER",
        "authorized_official_telephone_number": "623-546-6712"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "719049",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4428261",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH",
            "identifier": "1161706",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "326111",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00121650",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02039084",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z2293",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326111",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Rehabilitation of Sun City West, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.