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

Jkl Restorative PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1912777624

Jkl Restorative PLLC is a Physical Medicine & Rehabilitation Physician in Mesa, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5652 E Baseline Rd
Mesa, AZ 85206-4713
Phone: (480) 567-0350
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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 number1912777624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Lopez — Owner & Physician · (443) 974-6166
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address8102 E Cypress St, Scottsdale, AZ 85257-2815

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