REHAB ARIZONA NEURO REHABILITATION, LLC (NPI# 1851359145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851359145 |
| Entity Type | Organization |
| Organization Name | REHAB ARIZONA NEURO REHABILITATION, LLC |
| Other Organization Name | NATIONAL NEURO |
| Practice Address |
2919 S Ellsworth Rd Ste 111 Mesa AZ 85212-2144 |
| Mailing Address |
2725 Water Ridge Pkwy Ste 300 Charlotte NC 28217-4580 |
| Practice Telephone | 8668171788 |
| Mailing Telephone | 7048315050 |
| Mailing Fax Number | 7048315072 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALAN DEAN CAMPBELL (PRESIDENT) |
| Authorized Official Telephone | 7048315050 |
| 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 |
|---|---|
| National Neuro | Doing Business As Name - Organization |
| Street Address |
2919 S ELLSWORTH RD STE 111 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972502862 | Gabriel U. Ogbonnaya | Internal Medicine | 2919 S Ellsworth Rd, Suite # 124, Mesa, AZ 85212-2164 | 2005-07-21 |
| 1154774305 | Mesa Physical Medicine Pllc | Nurse Practitioner | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2016-07-22 |
| 1912331158 | Southwest Spine & Rehab Pllc | Chiropractor | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2013-08-23 |
| 1225381999 | Amy Lynn Wagner | Naturopath | 2919 S Ellsworth Rd, Suite 109, Mesa, AZ 85212-2164 | 2012-10-18 |
| 1023381340 | Scott Alexander Taylor | Chiropractor | 2919 S Ellsworth Rd, 102, Mesa, AZ 85212-2164 | 2012-02-16 |
| 1326344375 | Choice Medical Imaging of Arizona, LLC | Clinic/Center | 2919 S Ellsworth Rd, Suite 101, Mesa, AZ 85212-2164 | 2011-02-08 |
| 1881928273 | Kate Ashley Maine | Physician Assistant | 2919 S Ellsworth Rd, Mesa, AZ 85212-2164 | 2009-10-01 |
| 1710148663 | Custom Smile LLC | Dentist | 2919 S Ellsworth Rd, Suite 141, Mesa, AZ 85212-2164 | 2008-06-23 |
| 1508024175 | Aimee Lynn Hada | Physician Assistant | 2919 S Ellsworth Rd, Ste. 124, Mesa, AZ 85212-2164 | 2008-05-29 |
| 1003089301 | Kristy K Brown | Speech-Language Pathologist | 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212-2164 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030732 | Bhsm Rehabilitation, LLC | Clinic/Center | 1309 N Greenfield Rd Ste 102, Mesa, AZ 85205-4009 | 2020-07-09 |
| 1316462369 | Bhsm Rehabilitation, LLC | Clinic/Center | 1255 W Baseline Rd Ste 140, Mesa, AZ 85202-5821 | 2017-08-11 |
| 1871998799 | Christian Care Nursing Center, Inc. | Clinic/Center | 155 W Brown Rd, Mesa, AZ 85201-3427 | 2014-11-04 |
| 1871060020 | Bhsm Rehabilitation, LLC | Clinic/Center | 2225 W Southern Ave Bldg 1300, Mesa, AZ 85202-4716 | 2018-10-25 |
| 1306361357 | Bhsm Rehabilitation, LLC | Clinic/Center | 10165 E Hampton Ave Ste 111, Mesa, AZ 85209-3327 | 2017-08-11 |
| 1902208416 | Brain Performance Centers, LLC | Clinic/Center | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2014-09-16 |
| 1861721847 | Mesa United Medical Investors, Lp | Clinic/Center | 330 S Pinnule Cir, Mesa, AZ 85206-1636 | 2009-12-21 |
| 1114256369 | Life Care Centers of America, Inc. | Clinic/Center | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2009-12-17 |
| 1770738056 | Balance Basics, LLC | Clinic/Center | 4360 E Main St, Suite 103, Mesa, AZ 85205-8638 | 2008-11-30 |
| 1366616336 | Rehab Arizona LLC | Clinic/Center | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2008-04-21 |
| Find all providers in MESA | ||||
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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.