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PARAGON HEALTHCARE OF ARIZONALLC. NPI 1477786226


NPI Information

NPI: 1477786226
Provider Name: PARAGON HEALTHCARE OF ARIZONA,LLC.
Classification: Physical Therapist - 2251C2600X
Entity Type: Organization

Specialization: Cardiopulmonary

Address:
2585 S MIRACLE MILE
SUITE 107
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 444-8168
Get Directions

PARAGON HEALTHCARE OF ARIZONA,LLC. is a cardiopulmonary physical therapist in Bullhead City, AZ. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma. PARAGON HEALTHCARE OF ARIZONA,LLC. NPI is 1477786226. The provider is registered as an organization entity type.

The provider's business location address is:

2585 S MIRACLE MILE
SUITE 107
BULLHEAD CITY, AZ
ZIP 86442-522
Phone: (928) 444-8168
Fax: (928) 444-8169

The provider's authorized official is Sam W Spear .
The authorized official title is Executive Director and has the following contact phone number (924) 444-8168.

The enumeration date for this NPI number is 8/27/2009 and was last updated on 11/3/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
22251C2600XPhysical TherapistCardiopulmonaryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z141280OTHERARIZONAMEDICARE PTAN
2034526MEDICARE OSCAR/CERTIFICATIONARIZONA

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: 4/28/2024

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