COREPHYSIO LLC (NPI# 1902138431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902138431 |
| Entity Type | Organization |
| Organization Name | COREPHYSIO LLC |
| Practice Address |
1017 S Gilbert Rd Suite 104 Mesa AZ 85204-4442 |
| Practice Telephone | 4805070130 |
| Practice Fax Number | 4805070135 |
| Mailing Telephone | 4805070130 |
| Mailing Fax Number | 4805070135 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | MR. CARLOS RAOUL REEBERG (MANAGING DIRECTOR) |
| Authorized Official Telephone | 4805070130 |
| Authorized Official Credential | P.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 6440 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NPI | 1114905254 | 01 |
| Street Address |
1017 S GILBERT RD SUITE 104 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114905254 | Carlos Raoul Reeberg | Physical Therapist | 1017 S Gilbert Rd, Suite 104, Mesa, AZ 85204-4442 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107540 | Kaleigh Sullivan | Physical Therapist | 2225 W Southern Ave Ste A, Mesa, AZ 85202-4716 | 2020-09-01 |
| 1912530171 | Stephanie Waddell | Physical Therapist | 2651 E Nora St, Mesa, AZ 85213-1569 | 2020-02-17 |
| 1295365146 | Monika Pathak | Physical Therapist | 1917 S Signal Butte Rd Ste B106, Mesa, AZ 85209-2602 | 2020-01-20 |
| 1952949927 | Laura Beels | Physical Therapist | 6824 E Brown Rd Ste 102, Mesa, AZ 85207-3703 | 2019-12-20 |
| 1700424421 | Tara C Pai | Physical Therapist | 1950 S Country Club Dr Ste 103, Mesa, AZ 85210-6044 | 2019-12-12 |
| 1780227512 | Mindee Oliver Saulsby | Physical Therapist | 6149 E Sierra Morena St, Mesa, AZ 85215-7764 | 2019-10-24 |
| 1942841051 | Emily Johnson | Physical Therapist | 2225 W Southern Ave Unit B, Mesa, AZ 85202-4716 | 2019-10-01 |
| 1609423730 | Ryan James Zupko | Physical Therapist | 1941 W Guadalupe Rd Ste 108, Mesa, AZ 85202-7483 | 2019-08-22 |
| 1265088181 | Paulina Kozupa | Physical Therapist | 5151 E Broadway Rd Ste 102, Mesa, AZ 85206-1346 | 2019-08-15 |
| 1053964981 | Tyler Berry | Physical Therapist | 10039 E Tamery Ave, Mesa, AZ 85212-9592 | 2019-07-19 |
| 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.