Provider Demographics
NPI:1902150949
Name:CENTERPOINT PHYSICAL MEDICINE AND REHABILITATION, PLLC
Entity Type:Organization
Organization Name:CENTERPOINT PHYSICAL MEDICINE AND REHABILITATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE/BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:REBLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-751-4092
Mailing Address - Street 1:9420 W BELL RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-1362
Mailing Address - Country:US
Mailing Address - Phone:623-428-9469
Mailing Address - Fax:
Practice Address - Street 1:9420 W BELL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-1362
Practice Address - Country:US
Practice Address - Phone:623-428-9469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty