MOUNTAINSIDE FITNESS ACQUISITIONS, LLC – NPI #1639769649
Physical Medicine & Rehabilitation

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

MOUNTAINSIDE FITNESS ACQUISITIONS, LLC is a provider located in GLENDALE, AZ. NPPES has assigned the NPI number 1639769649 to MOUNTAINSIDE FITNESS ACQUISITIONS, LLC on January 23, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081S0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAINSIDE FITNESS ACQUISITIONS, LLC below.

NPI Profile for
MOUNTAINSIDE FITNESS ACQUISITIONS, LLC

NPI Number
1639769649
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAINSIDE FITNESS ACQUISITIONS, LLC
Primary location
2020 N. 75TH AVENUE
GLENDALE, AZ 85308
Phone: (480) 625-0228 Fax:
Mailing address
7135 E CAMELBACK RD
SCOTTSDALE, AZ 85251-1262
Phone: (480) 706-8963 Fax:
Organization Subpart
No
Authorized Official
EILEEN AHERN
CREDENTIALIST
Phone: (800) 954-1800
Updated
Certification Date
Jan 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081S0010X
- Physical Medicine & Rehabilitation / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.