Active NPIOrganization

Ahwatukee Sports And Spine PLC

Physical Medicine & Rehabilitation in Phoenix, Arizona

NPI Number1487610218
Practice location
4530 East Muirwood Drive, Ste 110, Phoenix, AZ 85048
Fax
480-759-0647
Last updated
October 26, 2010

Ahwatukee Sports And Spine PLC is a healthcare organization based in Phoenix, AZ. The NPI number for Ahwatukee Sports And Spine PLC is 1487610218. The current practice location address is 4530 East Muirwood Drive, Ste 110, Phoenix, AZ 85048 and the office can be reached by phone at 480-763-5808 and by fax at 480-759-0647. The NPI was assigned on April 21, 2006 and the record was last updated in NPPES on October 26, 2010.

●Provider Profile Details

NPI Number
1487610218
Provider Name
Ahwatukee Sports And Spine PLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Organization Subpart
No
Authorized Official
Mr. John M Kozak, MD · President · 480-763-5808
Enumeration Date
April 21, 2006
Last Update Date
October 26, 2010
NPI Status
Active

◉Business Practice Location Address

Address
4530 East Muirwood Drive
Ste 110
Phoenix, AZ 85048
State
Arizona
ZIP
85048
Country
US
Phone Number
480-763-5808
Fax Number
480-759-0647

Get directions →

✉Business Mailing Address

Address
Po Box 52817
Phoenix, AZ 85072-2817
City
Phoenix
State
AZ
ZIP
85072-2817
Phone Number
480-763-5808
Fax Number
480-759-0647

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physical Medicine & Rehabilitation
193200000X - Multi-Specialty Group
208100000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

☉Other providers near Phoenix, AZ

View all providers in Phoenix →

?Frequently Asked Questions

What is the NPI number of Ahwatukee Sports And Spine PLC?

The NPI number of Ahwatukee Sports And Spine PLC is 1487610218. It was assigned on April 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Ahwatukee Sports And Spine PLC?

Ahwatukee Sports And Spine PLC is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X).

Where does Ahwatukee Sports And Spine PLC practice?

The practice location is 4530 East Muirwood Drive, Ste 110, Phoenix, AZ 85048. The office can be reached at 480-763-5808 (phone) or 480-759-0647 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487610218 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

Browse related providers