# ORIGEN ORTHOPEDICS & OPTIMAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194167858
- **Authorized official:** DR. JONATHAN TAIT DO (PRESIDENT)
- **Authorized official phone:** (520) 777-9385

## Contact information

- **Practice address:** 7790 N ORACLE RD, SUITE 150, TUCSON, AZ 85704-6579
- **Practice address phone:** (520) 777-9385
- **Practice address fax:** (520) 306-4843
- **Mailing address:** 7790 N ORACLE RD, SUITE 150, TUCSON, AZ 85704-6579
- **Mailing address phone:** (520) 777-9385
- **Mailing address fax:** (520) 306-4843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5503 | AZ | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 5503 | AZ | — |

## Other

- **Enumeration date:** 07/23/2013
- **Last updated:** 08/15/2023