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

Desert Rehab Provider, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1942900980

Desert Rehab Provider, LLC is a Physical Medicine & Rehabilitation Physician in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1675 E Villa St
Phoenix, AZ 85006-4435
Phone: (480) 801-6700
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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 number1942900980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Jung — Owner · (989) 798-3087
NPI enumeratedMarch 8, 2023
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address16772 W Bell Rd Ste 110-619, Surprise, AZ 85374-9702

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