UNIVERSITY OF MEDICAL SCIENCES ARIZONA (NPI# 1750791521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750791521 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MEDICAL SCIENCES ARIZONA |
| Other Organization Name | THE LIONEL HOLDER REHABILITATION CLINIC |
| Practice Address |
125 S Avondale Blvd Ste. 105 Avondale AZ 85323-5212 |
| Practice Telephone | 4804428059 |
| Mailing Telephone | 4804428059 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | DR. JANICE PITTS (PRESIDENT) |
| Authorized Official Telephone | 4804428059 |
| 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 |
10853 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Lionel Holder Rehabilitation Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134569700 | University of Medical Sciences Arizona | Clinic/Center | 125 S Avondale Blvd, Suite 105, Avondale, AZ 85323-5212 | 2013-06-27 |
| Street Address |
125 S AVONDALE BLVD STE. 105 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134569700 | University of Medical Sciences Arizona | Clinic/Center | 125 S Avondale Blvd, Suite 105, Avondale, AZ 85323-5212 | 2013-06-27 |
| 1861806788 | Layra Avalos | Physical Therapist | 125 S Avondale Blvd, Avondale, AZ 85323-5212 | 2014-06-18 |
| 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 | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396246054 | Bhsm Rehabilitation, LLC | Clinic/Center | 10750 W Mcdowell Rd Ste B210, Avondale, AZ 85392-5973 | 2018-02-27 |
| 1699198481 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 10721 W Indian School Rd, Avondale, AZ 85392-5636 | 2014-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079523 | Trailhead Health & Rehab LLC | Clinic/Center | 1838 W Parkside Ln Ste 110, Phoenix, AZ 85027-1370 | 2020-09-24 |
| 1073129698 | Dynamic Performance and Recovery, LLC | Clinic/Center | 7800 E Pierce St, Scottsdale, AZ 85257-4606 | 2020-09-18 |
| 1073129821 | Epperson Physical Therapy Pllc | Clinic/Center | 5375 E Seven Palms Dr, Cave Creek, AZ 85331-2153 | 2020-09-17 |
| 1518572072 | A Wise Move Physical Therapy and Pilates, Pllc | Clinic/Center | 10130 N Oracle Rd Ste 120-130, Tucson, AZ 85704-7646 | 2020-09-11 |
| 1770110801 | Mobile Physical Therapy Pllc | Clinic/Center | 112 N Elden St, Flagstaff, AZ 86001-5295 | 2020-03-26 |
| 1518592351 | Foothills Sports Medicine & Physical Therapy - 91st Ave-olive | Clinic/Center | 9069 W Olive Ave Ste 105, Peoria, AZ 85345-9124 | 2020-03-11 |
| 1922644681 | Apexnetwork Wellton LLC | Clinic/Center | 28873 Commerce Way, Wellton, AZ 85356-7058 | 2019-11-18 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1760025621 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1700 E Elliot Rd Ste 16, Tempe, AZ 85284-1650 | 2019-10-23 |
| 1649811498 | Urgentmed House Call LLC | Clinic/Center | 2224 W Clarendon Ave, Phoenix, AZ 85015-5435 | 2019-10-03 |
| 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.