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

Ahwatukee Sports and Spine PLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1487610218

Ahwatukee Sports and Spine PLC is a Physical Medicine & Rehabilitation Physician in Phoenix, Arizona. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4530 E Muirwood Dr Ste 110
Phoenix, AZ 85048
Phone: (480) 763-5808
Fax: (480) 759-0647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1487610218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Kozak — President · (480) 763-5808
NPI enumeratedApril 21, 2006
Last updated in NPPESOctober 26, 2010
Mailing addressPo Box 52817, Phoenix, AZ 85072-2817

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