Provider Demographics
NPI:1457708034
Name:CHANDLER PAIN MEDICINE & PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:CHANDLER PAIN MEDICINE & PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:VOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-299-5700
Mailing Address - Street 1:8351 E TAILFEATHER DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6459
Mailing Address - Country:US
Mailing Address - Phone:480-299-5700
Mailing Address - Fax:
Practice Address - Street 1:1055 W QUEEN CREEK RD
Practice Address - Street 2:STE. #2
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-8134
Practice Address - Country:US
Practice Address - Phone:480-814-1023
Practice Address - Fax:480-814-7792
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED BACK AND NECK, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-24
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0987171100000X
AZ329122081P2900X
AZ8894225100000X
AZAP7638363L00000X
AZAP8549363LA2200X
AZAP4912363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty