Organization Active NPI

Arizona Physical Medicine & Rehabilitation Specialists, LTD

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1982874962
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARIZONA PHYSICAL MEDICINE & REHABILITATION SPECIALISTS, LTD
Practice address
10645 N Tatum Blvd
#200-564
Phoenix, AZ 85028-5600
Phone
(480) 947-7712
Fax
(480) 947-1486
NPI assigned
Mar 6, 2008
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Tiffany Brundage
Title
Practice Manager
Phone
(480) 947-7712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10645 N Tatum Blvd
#200-564
Phoenix, AZ 85028-5600

Mailing address

7301 E 2ND St
Suite 315
Scottsdale, AZ 85251-5600
Phone (480) 947-7711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080725000334 AZ Part B Supplier - Clinic/Group Practice 6507939493 Receives reassigned benefits from 6 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

7242 E Osborn Rd
#510
Scottsdale, AZ 85251

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3606/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1982874962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "address_2": "SUITE 315",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515600",
            "telephone_number": "480-947-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD",
            "address_2": "#200-564",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850285600",
            "telephone_number": "480-947-7712",
            "fax_number": "480-947-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PHYSICAL MEDICINE & REHABILITATION SPECIALISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "BRUNDAGE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "480-947-7712"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Jul 10, 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.