# CENTER FOR PHYSICAL MEDICINE & REHABILITATION P C

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

## Provider details

- **NPI number:** 1306959218
- **Authorized official:** KEVIN S LADIN MD (CEO/PRESIDENT)
- **Authorized official phone:** (602) 246-9002

## Contact information

- **Practice address:** 7600 N 15TH ST STE 102, PHOENIX, AZ 85020-4330
- **Practice address phone:** (602) 246-7410
- **Practice address fax:** (602) 246-7950
- **Mailing address:** 1331 N 7TH ST STE 360, PHOENIX, AZ 85006-2772
- **Mailing address phone:** (602) 246-9002
- **Mailing address fax:** (602) 246-7950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 11/17/2020