Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanced Spine and Rehab PC

Organization Chiropractor · NPI 1922020858

Advanced Spine and Rehab PC is a Chiropractor in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4540 E Baseline Rd Ste 111
Mesa, AZ 85206-4616
Phone: (480) 892-1122
Fax: (480) 892-2243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5639 (AZ)
Chiropractor Taxonomy 111N00000X · Licence 5447 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1922020858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Crismon — Partner · (480) 892-1122
NPI enumeratedJuly 23, 2006
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address4540 E Baseline Rd Ste 111, Mesa, AZ 85206-4616

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