Provider Demographics
NPI:1336229475
Name:PHYSIATRY ASSOCIATES, LTD
Entity Type:Organization
Organization Name:PHYSIATRY ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-795-8371
Mailing Address - Street 1:2102 N COUNTRY CLUB RD STE B
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-2831
Mailing Address - Country:US
Mailing Address - Phone:520-795-8371
Mailing Address - Fax:520-320-3808
Practice Address - Street 1:2102 N COUNTRY CLUB RD STE B
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2831
Practice Address - Country:US
Practice Address - Phone:520-795-8371
Practice Address - Fax:520-320-3808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE85976Medicare UPIN
AZE47396Medicare UPIN
AZZ27939Medicare PIN
AZWCHRMMedicare PIN
AZG97262Medicare UPIN
AZZ25WCHRM03Medicare PIN
AZZ111673Medicare PIN
AZH59398Medicare UPIN
AZP05034Medicare UPIN
AZZ25WCHRM01Medicare PIN
AZZ70038Medicare PIN