WING NEUROLOGICAL REHAB (NPI# 1831470103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831470103 |
| Entity Type | Organization |
| Organization Name | WING NEUROLOGICAL REHAB |
| Practice Address |
1190 E Missouri Ave Ste 100 Phoenix AZ 85014-2719 |
| Mailing Address |
1190 E Missouri Ave. Suite 100 Phoenix AZ 85014 |
| Practice Telephone | 4805676717 |
| Mailing Telephone | 4805676717 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-09-16 |
| Authorized Official Name | MARY K. WING (OWNER) |
| Authorized Official Telephone | 6023930520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
TSLP7413 | AZ | Ambulatory Health Care Facilities |
| Street Address |
1190 E MISSOURI AVE STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427346345 | Nicole Harley | Occupational Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2011-07-12 |
| 1699308270 | Jodi Eileen Edwards | Occupational Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2020-02-21 |
| 1841821337 | Sarh F Mcdonnell | Physical Medicine & Rehabilitation | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2020-02-03 |
| 1235778101 | Jason M Callaman | Physical Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-12-24 |
| 1174166045 | Amanda Wolf | Physical Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-10-23 |
| 1508409376 | Patricia Backus | Speech-Language Pathologist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-10-23 |
| 1033752902 | Morgan Marie Loss | Physical Medicine & Rehabilitation | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-10-23 |
| 1679138762 | Samantha Eagle | Occupational Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-05-05 |
| 1376001487 | Jasmin Merida | Occupational Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-03-07 |
| 1710445317 | Erin Maniaci | Physical Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1083656474 | Native American Connections | Clinic/Center | 4520 N Central Ave, Suite 100, Phoenix, AZ 85012-1828 | 2006-06-12 |
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| 1366641219 | Saguaro Rehabilitation and Aquatic Therapy LLC | Clinic/Center | 305 N Plaza Dr, Apache Junction, AZ 85220-5505 | 2007-07-12 |
| 1073734075 | Toyei Industries Incorporated | Clinic/Center | Tselanicottonwood Chapter 15 Navajo Rt 4, Chinle, AZ 86503-8650 | 2007-05-01 |
| 1104827963 | La Posada At Park Centre Inc | Clinic/Center | 700 S La Posada Cir, Green Valley, AZ 85614-5100 | 2005-08-02 |
| 1669095758 | Scottsdale Mental Health and Wellness Institute | Clinic/Center | 8350 E Raintree Dr Ste 130, Scottsdale, AZ 85260-2692 | 2020-05-22 |
| 1174173579 | Arion Care Solutions, LLC | Clinic/Center | 3200 N Dobson Rd Ste F-2, Chandler, AZ 85224-9611 | 2019-09-17 |
| 1205480142 | Renewcare of Scottsdale, Inc. | Clinic/Center | 3333 N Civic Center Plz, Scottsdale, AZ 85251-6413 | 2019-07-29 |
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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.