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

Painx Joint- Revitalization Inc

Organization Family Medicine Physician · NPI 1306404454

Painx Joint- Revitalization Inc is a Family Medicine Physician in Mesa, Arizona. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

62 N Stapley Dr Ste B
Mesa, AZ 85203-8845
Phone: (602) 828-6705
Fax: (602) 581-7160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1038 W 10th St, Mesa, AZ 85201-3926 — (602) 828-6705

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X
Family Medicine Physician Taxonomy 207Q00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1306404454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Amaya — Physician Assistant · (602) 828-6705
Other names Painx; Painx
NPI enumeratedJune 4, 2019
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020
Mailing address62 N Stapley Dr Ste B, Mesa, AZ 85203-8845

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