SOUTHWEST SPINE AND SPORTS (NPI# 1689805194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689805194 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST SPINE AND SPORTS |
| Practice Address |
1025 E Broadway Rd Suite 201 Tempe AZ 85282-1599 |
| Mailing Address |
Po Box 52001 Dept 901 Phoenix AZ 85072-2001 |
| Practice Telephone | 4808608998 |
| Practice Fax Number | 4803779245 |
| Mailing Telephone | 4808608998 |
| Mailing Fax Number | 4803779245 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | MICHAEL W WOLFF (PRESIDENT) |
| Authorized Official Telephone | 4808608998 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689993552 | Southwest Spine and Sports | Physical Medicine & Rehabilitation | 18275 N 59th Ave, Suite F-132, Glendale, AZ 85308-1260 | 2010-05-18 |
| Street Address |
1025 E BROADWAY RD SUITE 201 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083667729 | Physiotherapy Associates | Clinic/Center | 1025 E Broadway Rd, Suite 201, Tempe, AZ 85282-1599 | 2006-05-17 |
| 1376021675 | Nicole Larson | Physical Therapist | 1025 E Broadway Rd, Tempe, AZ 85282-1599 | 2018-07-30 |
| 1093149445 | Matthew Angier | Physical Therapist | 1025 E Broadway Rd, Suite 101, Tempe, AZ 85282-1599 | 2013-08-21 |
| 1932407855 | Beth Wieland | Physical Therapist | 1025 E Broadway Rd, Suite 101, Tempe, AZ 85282-1599 | 2011-03-01 |
| 1366746505 | Michael Steven Schuk | Physical Therapist | 1025 E Broadway Rd, Suite 101, Tempe, AZ 85282-1599 | 2011-01-03 |
| 1356657134 | Brigham Rex Woods | Physical Therapist | 1025 E Broadway Rd, Suite #100, Tempe, AZ 85282-1599 | 2010-08-31 |
| 1770716284 | Jeremy Shane Lewis | Specialist/Technologist | 1025 E Broadway Rd, Ste 100, Tempe, AZ 85282-1599 | 2009-08-31 |
| 1659526531 | Linda M Gallipo | Physical Therapist | 1025 E Broadway Rd, Suite 101, Tempe, AZ 85282-1599 | 2008-11-19 |
| 1033398714 | Kristin Marie Parmley | Physical Therapist | 1025 E Broadway Rd, #101, Tempe, AZ 85282-1599 | 2007-10-30 |
| 1891981031 | Jarrett Holmes | Physical Therapy Assistant | 1025 E Broadway Rd, Ste. 100, Tempe, AZ 85282-1599 | 2007-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760815237 | Dr Sheba Jilani | Physical Medicine & Rehabilitation | 4515 S Mcclintock Dr Ste 118, Tempe, AZ 85282-7381 | 2013-08-19 |
| 1598255366 | Ray Healthcare, LLC | Physical Medicine & Rehabilitation | 1001 E Warner Rd Ste 107, Tempe, AZ 85284-3224 | 2018-05-16 |
| 1669634044 | Paul Singh Sraow | Physical Medicine & Rehabilitation | 2600 E Southern Ave, Ste I-1, Tempe, AZ 85282-7610 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967750 | Pain & Wellness of Arizona, LLC | Physical Medicine & Rehabilitation | 3120 E Union Hills Dr Ste 201, Phoenix, AZ 85050-3454 | 2019-11-19 |
| 1831730050 | Restorative Care of Arizona, P.C. | Physical Medicine & Rehabilitation | 2150 E Highland Ave Ste 107, Phoenix, AZ 85016-4720 | 2019-09-30 |
| 1134785967 | Dylan Irish | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 104, Mesa, AZ 85206-3628 | 2019-05-16 |
| 1134782097 | Thoroughbred Medical | Physical Medicine & Rehabilitation | 1521 E. Tangerine Road, Suite 201, Oro Valley, AZ 85755 | 2019-04-17 |
| 1194285387 | Apr Med Group LLC | Physical Medicine & Rehabilitation | 10605 N Hayden Rd Ste D102, Scottsdale, AZ 85260-5686 | 2019-03-22 |
| 1932683919 | Gemma Justice Lopez | Physical Medicine & Rehabilitation | 22321 E Cherrywood Dr, Queen Creek, AZ 85142-4827 | 2018-09-17 |
| 1003325945 | North Scottsdale Pro | Physical Medicine & Rehabilitation | 8952 E Desert Cove Ave Ste 103, Scottsdale, AZ 85260-6776 | 2017-09-22 |
| 1518496702 | Saa Healthcare LLC | Physical Medicine & Rehabilitation | 6320 W Union Hills Dr Ste 1400b, Glendale, AZ 85308-1061 | 2017-06-09 |
| 1437437605 | M S C Holding Group LLC | Physical Medicine & Rehabilitation | 1640 S Stapley Dr, Suite 245, Mesa, AZ 85204-6667 | 2011-07-22 |
| 1316258361 | Desert Sky Spine & Sports Medicine PC | Physical Medicine & Rehabilitation | 1521 E. Tangerine Rd, Suite 201, Oro Valley, AZ 85755 | 2010-06-24 |
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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.