Rww Outpatient Rehab Services, Llc - Medicare Primary Care in Phoenix, AZ

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Rww Outpatient Rehab Services, Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Phoenix, Arizona. The current practice location for Rww Outpatient Rehab Services, Llc is 1190 E Missouri Ave Ste 100, Phoenix, Arizona. For appointments, you can reach them via phone at (602) 393-0520. The mailing address for Rww Outpatient Rehab Services, Llc is 805 N Whittington Pkwy, Louisville, Kentucky and phone number is (502) 394-2100.

Rww Outpatient Rehab Services, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447744461. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (602) 393-0520.

Contact Information

Rww Outpatient Rehab Services, Llc
1190 E Missouri Ave Ste 100
Phoenix
AZ 85014
(602) 393-0520
(602) 393-0523

Map and Direction


Primary Care Clinic Profile

Full NameRww Outpatient Rehab Services, Llc
SpecialityClinic/Center
Location1190 E Missouri Ave Ste 100, Phoenix, Arizona
Authorized Official Name and PositionHeather Wilson (NATIONAL CREDENTIALING MANAGER)
Authorized Official Contact5022723463
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rww Outpatient Rehab Services, Llc
805 N Whittington Pkwy
Louisville
KY 40222-5186

Ph: (502) 394-2100		Rww Outpatient Rehab Services, Llc
1190 E Missouri Ave Ste 100
Phoenix
AZ 85014

Ph: (602) 393-0520

NPI Details:

NPI Number1447744461
Provider Enumeration Date06/22/2018
Last Update Date03/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8729333521
Medicare Enrollment IDO20181022003444

Medical Identifiers

Medical identifiers for Rww Outpatient Rehab Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447744461NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Secondary
261QR0400XClinic/center - Rehabilitation (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Rww Outpatient Rehab Services, Llc acts as a billing entity for following providers:
Provider NameKim Kulovitz Gatewood
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760673651
PECOS PAC ID: 4981674108
Enrollment ID: I20040727000577
Provider NameMary K Wing
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205912490
PECOS PAC ID: 2163335597
Enrollment ID: I20050629000816
Provider NameCourtney T Finley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609020668
PECOS PAC ID: 3577620095
Enrollment ID: I20090326000540
Provider NameHolly Jones
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497109011
PECOS PAC ID: 3375834070
Enrollment ID: I20160628001935
Provider NameKimberly Chesney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255783700
PECOS PAC ID: 6204103344
Enrollment ID: I20170522001214
Provider NameAllison Chae Jochimsen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003317769
PECOS PAC ID: 6103188677
Enrollment ID: I20180321000550
Provider NameMelissa Lynn Rust Hurst
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1386290062
PECOS PAC ID: 8527397637
Enrollment ID: I20190913001764
Provider NameChardae Simone Durden
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700386463
PECOS PAC ID: 9537593314
Enrollment ID: I20200103000365
Provider NameSarah F Mcdonnell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841821337
PECOS PAC ID: 7719315217
Enrollment ID: I20200316002685
Provider NameKaitlyn Landess
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1235746249
PECOS PAC ID: 3072932581
Enrollment ID: I20201002001309
Provider NameTracy Therrien
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952810590
PECOS PAC ID: 3779995824
Enrollment ID: I20201214001226
Provider NameElizabeth Moore
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104422575
PECOS PAC ID: 8628482734
Enrollment ID: I20210202000744
Provider NameAndrea Jean Ellensohn
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043336167
PECOS PAC ID: 9234545278
Enrollment ID: I20210317000587
Provider NameLisa Jennifer De Los Santos
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1619525631
PECOS PAC ID: 8729495023
Enrollment ID: I20210405000816
Provider NameLisa Ann Naylor
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1891003695
PECOS PAC ID: 8325444805
Enrollment ID: I20210908003523
Provider NameMireya Garibay Uribe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174299770
PECOS PAC ID: 4082010392
Enrollment ID: I20210913002213
Provider NameSchae Mcleod
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104594142
PECOS PAC ID: 2264839836
Enrollment ID: I20210923003037
Provider NameJohn Durnell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164150256
PECOS PAC ID: 2860876844
Enrollment ID: I20220825002580
Provider NameGabriela Skoczylas
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1336797067
PECOS PAC ID: 0941636617
Enrollment ID: I20220831003120
Provider NameHaley Victoria Kimble
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215665062
PECOS PAC ID: 4880078948
Enrollment ID: I20220908003060
Provider NameSarina Patel
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1215540778
PECOS PAC ID: 9335525872
Enrollment ID: I20221006000580
Provider NameNicole Thiers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487347688
PECOS PAC ID: 0446619936
Enrollment ID: I20230630001137
Provider NameChloe Jensen Leclaire
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1891426060
PECOS PAC ID: 6608239868
Enrollment ID: I20230906000787
Provider NameLauren Feller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194508473
PECOS PAC ID: 9436513652
Enrollment ID: I20230906003500
Provider NameAlexis Ann Nystedt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508647231
PECOS PAC ID: 5799131819
Enrollment ID: I20231026000934
Provider NameNicole Rae Hernandez
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003057928
PECOS PAC ID: 4385092634
Enrollment ID: I20231127001923
Provider NameTaryn D Harker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427828821
PECOS PAC ID: 5193178689
Enrollment ID: I20240131004299
Provider NameLogan Hines
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649040882
PECOS PAC ID: 9335592849
Enrollment ID: I20240131004726
Provider NameJacquelyn Puchala
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1447011762
PECOS PAC ID: 8628411022
Enrollment ID: I20240212004458
Provider NameJena Aebi
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1801217286
PECOS PAC ID: 7911347166
Enrollment ID: I20240503003418

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.