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ST PEREGRINE WOUND CARE LLC
NPI 1164862371
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Phoenix, AZ

Active since July 02, 2013
2000 W BETHANY HOME RD, PHOENIX, AZ 85015(602) 246-5576 Get Directions Write a Review

NPPES record last updated: July 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Peregrine Wound Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST PEREGRINE WOUND CARE LLC (NPI 1164862371) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Phoenix, Arizona and active in the NPI registry since July 2013. The organization lists Marianne Teresa Mason, Owner, as its authorized official.

NPPES Registry Identity

NPI1164862371
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameST PEREGRINE WOUND CARE LLC
Location Address2000 W BETHANY HOME RDPhoenix, AZ 85015-2443
Mailing Address9551 W Country Club DrSun City, AZ 85373-1725 · (605) 371-6244
Phone(602) 246-5576
Organization SubpartNo
Authorized OfficialMarianne Teresa MasonOwner · (605) 371-6244
Enumeration DateJuly 2, 2013
✔ NPI 1164862371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
2000 W BETHANY HOME RD, Phoenix, AZ 85015
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH CHOI
Emergency Medicine
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 249-0212
DR. WILLIAM BOTTOMLEY D.O.
Family Medicine
2000 W BETHANY HOME RD, PHOENIX BAPTIST FAMILY MEDICINE RESIDENCY
PHOENIX, AZ 85015
Maricopa County (602) 246-5658
NATALIE GAIL BOOTY PA-C
Physician Assistant
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 249-0212
DR. JENNIFER MARIE VOLKER PHARMD
Pharmacist
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 246-5775
SHANNON CHERAYIL
Student in an Organized Health Care Education/Training Program
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 249-0212
AHMED K AGHA M.D., PHARMD
Family Medicine
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 246-5658
DR. IZUNNA NDUBISI EZEKWESILI MD
Student in an Organized Health Care Education/Training Program
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 249-0212
AMANDA RAPP M.D.
Family Medicine
2000 W BETHANY HOME RD
PHOENIX, AZ 85015
Maricopa County (602) 246-5658

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Peregrine Wound Care LLC's NPI number?

The NPI number for St Peregrine Wound Care LLC is 1164862371. It was assigned to this organization in the NPPES registry on July 2, 2013.

Where is St Peregrine Wound Care LLC located?

St Peregrine Wound Care LLC is located at 2000 W Bethany Home Rd, Phoenix, AZ 85015. The listed phone number is (602) 246-5576.

What is St Peregrine Wound Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for St Peregrine Wound Care LLC was last updated on July 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.