Physical Medicine of Scottsdale, LLC
NPI 1558710152ActiveOrganization· General Practice· Scottsdale, AZ
General Practice in Scottsdale, Arizona, registered in NPPES in June 2016. The authorized official on file is Justin Thompson, DC, Manager.
Overview
| NPI | 1558710152 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2016 |
| Last updated in NPPES | Oct 8, 2020 |
| Certified by provider | Oct 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 9056 | AZ |
| Internal Medicine | 207R00000X | 9056 | AZ |
| Pain Medicine, Pain Medicine | 208VP0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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