Landmark Medical LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

46628 Issued in AZ

Legal business name

LANDMARK MEDICAL LLC

Practice address

3001 E Camelback Rd Ste 155
Phoenix, AZ 85016-0001

Phone

(602) 234-2611

NPI assigned

Jan 22, 2018

Organization subpart

Yes

Parent organization

LANDMARK MEDICAL LLCAs reported in NPPES

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

Authorized official

Name

Dr. Justin D Thompson

Title

Manager

Phone

(435) 760-5896

Specialties & licenses 7

Addresses

Tax ID family

Landmark Medical LLC5 organizations share this tax ID, including this one

Part of

Landmark Medical LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Landmark Medical LLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1053829374
  NPD tax ID
• Landmark Medical LLC

  • Physical Medicine & Rehabilitation Physician
  • Anthem, AZ
  • NPI 1144738469
  NPD tax ID
• Landmark Medical LLC

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1528665817
  NPD tax ID
• Landmark Medical LLC

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
  • NPI 1760089049
  NPD tax ID

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1962910281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 W PARKSIDE LN STE H107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271274",
            "telephone_number": "602-354-5310",
            "fax_number": "480-887-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E CAMELBACK RD STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160001",
            "telephone_number": "602-234-2611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Val Vista Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852961363",
            "country_code": "US",
            "telephone_number": "480-401-5153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANDMARK MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANDMARK MEDICAL LLC",
        "enumeration_date": "2018-01-22",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-760-5896",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8503",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "46628",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "46628",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12547",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5090",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": "AP5002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Landgrebe, MS, ATC
• Mackenzie Landin, M.D.
• Maria D Landin, LMSW
• Cindy Landis
• Emily Landis
• Landmark Physical Therapy, PLLC
• Mattea Landon, RD
• Steven Landon, PHARMD
• George W Landrum, MD
• Tracy Anne Landrus, LPC

• Physical Medicine & Rehabilitation Physician in Phoenix, AZ
• Providers in Phoenix, 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 Oct 8, 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.