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

South Mountain Rehabilitation PC

Organization Chiropractor · NPI 1124176342

South Mountain Rehabilitation PC is a Chiropractor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
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

4804 E Chandler Blvd 106
Phoenix, AZ 85048-0857
Phone: (480) 893-6020
Fax: (480) 785-5161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5302 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 2853 (AZ)

Record details

NPI number1124176342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Pakulis — President · (480) 759-1082
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJanuary 3, 2008
Mailing address16016 S 45th Pl, Phoenix, AZ 85048-7635

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