REHAB SPECIALISTS OUTPATIENT LLC NPI 1407523657

NPI Information

  • NPI: 1407523657
  • Provider Name: REHAB SPECIALISTS OUTPATIENT LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: AGESTRONG MIRABELLA ASU
  • Address: 65 E UNIVERSITY DR
    TEMPE, AZ
    ZIP 85281
  • Phone: (971) 206-5200

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NPI Details

REHAB SPECIALISTS OUTPATIENT LLC is a rehabilitation clinic center in Tempe, AZ. REHAB SPECIALISTS OUTPATIENT LLC NPI is 1407523657. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Agestrong Mirabella Asu.

The provider's business location address is:

65 E UNIVERSITY DR
TEMPE, AZ
ZIP 85281-091
Phone: (971) 206-5200

The provider's authorized official is Phillip G Fogg .
The authorized official title is Owner and has the following contact phone number (971) 206-5200.

The enumeration date for this NPI number is 8/25/2021 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational TherapistNo
2235Z00000XSpeech-Language PathologistNo
3225100000XPhysical TherapistNo
4261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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