SOUTHWEST PHYSIATRY PLLC


Address: 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443
Phone: 6175383650

SOUTHWEST PHYSIATRY PLLC (NPI# 1407367139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407367139
Entity Type Organization
Organization Name SOUTHWEST PHYSIATRY PLLC
Practice Address 2000 W Bethany Home Rd
Phoenix
AZ 85015-2443
Mailing Address 5302 N 42nd Pl
Phoenix
AZ 85018-1668
Practice Telephone 6175383650
Mailing Telephone 6175383650
Enumeration Date 2017-10-20
Last Update Date 2017-10-20
Authorized Official Name DR. MICHAEL CRINCOLI (PRESIDENT)
Authorized Official Telephone 6175383650
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
44220 Allopathic & Osteopathic Physicians

Office Location

Street Address 2000 W BETHANY HOME RD
City PHOENIX
State AZ
Zip Code 85015-2443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063413524 Ahmed K Agha Pharmacist 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 2005-08-09
1649897091 Carolyne N Simiyu Karuku Registered Nurse 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 2020-07-01
1619592490 Kyndall Elizabeth Cline Nurse Practitioner 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 2020-06-08
1629607924 Elizabeth Ann Gaddi Nguyen Student in an Organized Health Care Education/Training Program 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 2020-04-07
1104455989 Ashley Marie Desmarais Student in an Organized Health Care Education/Training Program 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 2020-04-03
1710514963 Ann Therese Peer Student in an Organized Health Care Education/Training Program 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 2020-03-26
1427685973 Asta Brianna Jakobsson Student in an Organized Health Care Education/Training Program 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 2020-03-25
1588291298 Sandra Shi Student in an Organized Health Care Education/Training Program 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 2020-03-24
1881221471 Louis Justin Needleman Student in an Organized Health Care Education/Training Program 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 2020-03-24
1659914018 Interventional Neurology of Az LLC Psychiatry & Neurology 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 2019-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610310 Leticia Karina Maria Lelli Student in an Organized Health Care Education/Training Program 4760 N. 20th Ave, Phx, AZ 85015 2020-08-18
1083100564 Leen Qutachi Dentist 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 2018-07-08
1851820146 Jeff Biever Spec/Tech, Cardiovascular 1517 West Lamar Rd, Phoenix, AZ 85015 2017-06-08
1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
1295141620 Yehia Saleh Pharmacist 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 2014-07-07
1295160380 Journey To Prosperity Custodial Care Facility 1623 W Denton, Phoenix, AZ 85015 2013-09-07
1124372099 Facing The Future With Hope Counselor 5656 N 17th Ave #c7, Phoenix, AZ 85015 2012-10-31
1700133998 Srujal Vinubhai Patel Internal Medicine 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 2012-08-07
1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
1528360674 Fatima Medical Transportation LLC Non-emergency Medical Transport (VAN) 2025 W Indian School Road, #705, Phoenix, AZ 85015 2010-11-23
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Taxonomy Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689233785 Tara Anne Condon Physical Medicine & Rehabilitation 3300 W Camelback Rd Bldg 12, Phoenix, AZ 85017-3030 2019-06-12
1528556495 Stone Med, LLC Physical Medicine & Rehabilitation 77 S Dobson Rd., Phoenix, AZ 85224 2018-04-26
1821141250 Sholom Gootzeit Physical Medicine & Rehabilitation 17233 N Holmes Blvd Ste 1640, 13761 W. Bell Road, Suite 203, Surprise, Az 85374, Phoenix, AZ 85053-2020 2007-01-19
1497728372 Michael G. Crincoli Physical Medicine & Rehabilitation 1012 East Willetta Street, Phoenix, AZ 85006 2006-02-09
1457910416 George Hackett Physical Medicine & Rehabilitation 3300 W Camelback Rd, Phoenix, AZ 85017-1097 2019-06-12
1194384172 Rachael Marie Bode Physical Medicine & Rehabilitation 3300 W Camelback Rd, Phoenix, AZ 85017-3030 2019-06-12
1710546890 Gregory Spence Physical Medicine & Rehabilitation 3300 W Camelback Rd, Phoenix, AZ 85017-1097 2019-06-11
1346764768 Cruz Romero Physical Medicine & Rehabilitation 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 2017-07-27
1093182453 Ncsrv, LLC Physical Medicine & Rehabilitation 7710 W Lower Buckeye Rd, Suite 115, Phoenix, AZ 85043-3439 2015-09-01
1992119986 Az Health Centers, Pllc Physical Medicine & Rehabilitation 4530 E Ray Rd, Ste 110, Phoenix, AZ 85044-6094 2014-06-17
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Competitor

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City PHOENIX
Zip Code 85015

Improve Information

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Dataset Information

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.

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