ADVANCED NEUROLOGIC REHABILITATION (NPI# 1598188096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598188096 |
| Entity Type | Organization |
| Organization Name | ADVANCED NEUROLOGIC REHABILITATION |
| Practice Address |
4180 S Ambrosia Dr Chandler AZ 85248-4804 |
| Practice Telephone | 4802447011 |
| Mailing Telephone | 4802447011 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | MR. JEFFERSON WAYNE HOLM (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4802447011 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
9343 | AZ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| Street Address |
4180 S AMBROSIA DR |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85248-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| 1346743473 | Kiana Tess Tahiri | Behavioral Analyst | 3952 South Waterfront Drive, Chandler, AZ 85248 | 2018-03-15 |
| 1922508076 | Kaitlyn Christine Jones | Specialist/Technologist | 3700 S Arizona Ave, Chandler, AZ 85248 | 2018-02-15 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1881064145 | Sonya Kay Kooima | Nurse Practitioner | 965 W. Chandler Heights Rd., Chandler, AZ 85248 | 2015-09-30 |
| 1215313028 | Taylor Froiland | Pharmacist | 4995 S Alma School Rd Ste 4, Chandler, AZ 85248 | 2015-08-04 |
| 1518380468 | Julie Ybarra | Speech-Language Pathologist | 1500 E.chandler Heights Rd., Chandler, AZ 85248 | 2014-01-29 |
| 1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
| 1700113156 | Lavon Williams | Registered Nurse | 10440 E. Riggs Road, Suite 207, Chandler, AZ 85248 | 2009-11-05 |
| Find all providers in zip 85248 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215490701 | Move Human Performance and Physical Therapy | Clinic/Center | 375 E Elliot Rd Ste 7, Chandler, AZ 85225-1122 | 2019-04-10 |
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| 1588944078 | Sonoran View Management, Inc. | Clinic/Center | 621 N Tercera Ave, Chandler, AZ 85226-4072 | 2011-08-28 |
| 1831388388 | Desert Sun Physical Therapy, LLC | Clinic/Center | 1807 E Queen Creek Rd, Suite 7, Chandler, AZ 85286-2024 | 2007-10-22 |
| 1194877555 | A Plus Physical Therapy Inc. | Clinic/Center | 3180 S Gilbert Rd, Chandler, AZ 85249 | 2007-01-17 |
| 1851859664 | Distinct Physical Therapy, Pllc | Clinic/Center | 900 W Chandler Blvd Ste A-4, Chandler, AZ 85225-4908 | 2019-03-11 |
| 1962903617 | Bhsm Rehabilitation, LLC | Clinic/Center | 655 S Dobson Rd Ste B111, Chandler, AZ 85224-5686 | 2018-02-27 |
| 1396262234 | Hpc Holdings LLC | Clinic/Center | 1076 W Chandler Blvd Ste 103, Chandler, AZ 85224-5223 | 2017-08-22 |
| 1639693963 | Balance Healthcare Services | Clinic/Center | 643 W San Carlos Way, Chandler, AZ 85248 | 2017-07-28 |
| 1053847582 | Crossroads Orthopedic Pt | Clinic/Center | 610 N Alma School Rd, Suite 52, Chandler, AZ 85224-3600 | 2017-05-03 |
| Find all providers in CHANDLER | ||||
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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.