Rehab Arizona Physicaltherapy East
Specialist in Mesa, AZ. Organization (NPI-2).
NPI number1114129145
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114129145
- Entity type
- Organization (NPI-2)
- Legal business name
- Rehab Arizona Physicaltherapy East
- Organization subpart
- No
- Enumeration date
- Jun 1, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 5385 | AZ | Yes |
Practice location
2919 S Ellsworth Rd Ste 115Mesa, AZ 85212-2165
Phone 480-393-0960
Mailing address
2919 S Ellsworth Rd Ste 115Mesa, AZ 85212-2165
Authorized official
Jenifer Chapman
Billing
4803930960
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