PHYSICAL MEDICINE OF GILBERT LLC (NPI# 1336612993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336612993 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE OF GILBERT LLC |
| Practice Address |
130 S Val Vista Dr Ste 102 Gilbert AZ 85296-1363 |
| Practice Telephone | 6022376340 |
| Mailing Telephone | 4809121434 |
| Mailing Fax Number | 4808878041 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | THOMAS MOSHIRI (MANAGER) |
| Authorized Official Telephone | 6022376340 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
130 S VAL VISTA DR STE 102 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811430606 | Renu Wellness Institute, Pllc | Anesthesiology | 130 S Val Vista Dr Ste 102, Gilbert, AZ 85296-1363 | 2016-11-28 |
| 1053978791 | Apr Dme LLC | Durable Medical Equipment & Medical Supplies | 130 S Val Vista Dr Ste 102, Gilbert, AZ 85296-1363 | 2019-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475854 | East Valley Serenity Health, LLC | General Practice | 4001 E Baseline Rd Ste 104, Gilbert, AZ 85234-2736 | 2019-03-11 |
| 1023535960 | Jdv Consulting LLC | General Practice | 2680 S Val Vista Dr Ste 101, Gilbert, AZ 85295-1606 | 2017-08-22 |
| 1841570512 | New Life Medical, LLC | General Practice | 2915 E Baseline Rd Ste 105, Gilbert, AZ 85234-2427 | 2011-08-25 |
| 1780826115 | Ghi Therapy Center | General Practice | 745 N Gilbert Rd Ste 104, Gilbert, AZ 85234-3383 | 2009-03-31 |
| 1063036598 | Lindsey Beus | General Practice | 81 W Guadalupe Rd Ste 111, Gilbert, AZ 85233-3321 | 2020-06-01 |
| 1578198453 | Harmony Physician Group An Arizona Nonprofit Corporporation | General Practice | 81 W Guadalupe Rd Ste 112, Gilbert, AZ 85233-3321 | 2020-03-11 |
| 1356905285 | Jtbl LLC | General Practice | 3303 E Baseline Rd, Gilbert, AZ 85234-2738 | 2019-04-25 |
| 1487111522 | True Msk LLC | General Practice | 4828 S Val Vista Dr, Gilbert, AZ 85298-7323 | 2019-02-25 |
| 1609365741 | True Health Baseline, LLC | General Practice | 3303 E Baseline Rd Ste 204, Gilbert, AZ 85234-2728 | 2018-05-03 |
| 1669970562 | True Health Gilbert LLC | General Practice | 4828 S Val Vista Dr, Gilbert, AZ 85298-7323 | 2018-01-25 |
| Find all providers in GILBERT | ||||
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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.