UNIVERSITY OF MEDICAL SCIENCES ARIZONA (NPI# 1134569700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134569700 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MEDICAL SCIENCES ARIZONA |
| Other Organization Name | THE LIONEL HOLDER REHABILITATION CLINIC |
| Practice Address |
125 S Avondale Blvd Suite 105 Avondale AZ 85323-5212 |
| Practice Telephone | 4804428059 |
| Mailing Telephone | 4804428059 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | DR. JANICE PITTS (PRESIDENT/ACTING DEAN) |
| Authorized Official Telephone | 4804428059 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Lionel Holder Rehabilitation Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750791521 | University of Medical Sciences Arizona | Clinic/Center | 125 S Avondale Blvd, Ste. 105, Avondale, AZ 85323-5212 | 2014-05-02 |
| Street Address |
125 S AVONDALE BLVD SUITE 105 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861806788 | Layra Avalos | Physical Therapist | 125 S Avondale Blvd, Avondale, AZ 85323-5212 | 2014-06-18 |
| 1750791521 | University of Medical Sciences Arizona | Clinic/Center | 125 S Avondale Blvd, Ste. 105, Avondale, AZ 85323-5212 | 2014-05-02 |
| 1306286554 | Janice Pitts | Physical Therapist | 125 S Avondale Blvd, Suite 105, Avondale, AZ 85323-5212 | 2013-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114006632 | Physiotherapy Associates, Inc. | Clinic/Center | 13055 W. Mcdowell Rd, Bldg G Ste107, Avondale, AZ 85323-6450 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749399 | Bhsm Rehabilitation, LLC | Clinic/Center | 9377 E Bell Rd Ste 349, Scottsdale, AZ 85260-1502 | 2020-10-29 |
| 1598383705 | Bhsm Rehabilitation, LLC | Clinic/Center | 6380 E Grant Rd Ste 100, Tucson, AZ 85715-3884 | 2020-07-14 |
| 1063030732 | Bhsm Rehabilitation, LLC | Clinic/Center | 1309 N Greenfield Rd Ste 102, Mesa, AZ 85205-4009 | 2020-07-09 |
| 1477176071 | Bhsm Rehabilitation, LLC | Clinic/Center | 211 N Estrella Pkwy Unit 103-104, Goodyear, AZ 85338-9339 | 2020-05-19 |
| 1316574569 | Bhsm Rehabilitation, LLC | Clinic/Center | 885 E Warner Rd, Gilbert, AZ 85296-3075 | 2020-03-26 |
| 1801429634 | Bhsm Rehabilitation, LLC | Clinic/Center | 37200 North Gantzel Road, Suite 260, Queen Creek, AZ 85140 | 2020-02-20 |
| 1285271684 | Bhsm Rehabilitation, LLC | Clinic/Center | 25101 N Lake Pleasant Pkwy Ste B-1340, Peoria, AZ 85383-1386 | 2019-12-04 |
| 1528535689 | Bhsm Rehabilitation, LLC | Clinic/Center | 5605 W Eugie Ave Ste 212&215, Glendale, AZ 85304-1272 | 2018-10-26 |
| 1942777073 | Bhsm Rehabilitation, LLC | Clinic/Center | 10503 W Thunderbird Blvd Ste 200, Sun City, AZ 85351-2746 | 2018-10-26 |
| 1013404680 | Continuum Recovery Center | Clinic/Center | 3710 W Greenway Rd Ste 104, Phoenix, AZ 85053-3729 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.