ASPEN REHAB PLLC
NPI 1265104152
Physical Medicine & Rehabilitation - Pain Medicine in Flagstaff, AZ
About Aspen Rehab Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASPEN REHAB PLLC (NPI 1265104152) is a healthcare organization registered as a pain medicine in Flagstaff, Arizona and active in the NPI registry since September 2021. The organization lists Jamal Balouch, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aspen Rehab Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Aspen Rehab PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Aspen Rehab PLLC's NPI number?
The NPI number for Aspen Rehab PLLC is 1265104152. It was assigned to this organization in the NPPES registry on September 29, 2021.
Where is Aspen Rehab PLLC located?
Aspen Rehab PLLC is located at 1851 N Gemini Dr Ste A, Flagstaff, AZ 86001. The listed phone number is (480) 821-9339.
What is Aspen Rehab PLLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.
Is Aspen Rehab PLLC enrolled in Medicare?
Yes. Aspen Rehab PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aspen Rehab PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Aspen Rehab PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Aspen Rehab PLLC was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Aspen Rehab Pllc · NPI 1265104152
Pain Medicine organization in Flagstaff, Arizona. Organization record, active in the CMS NPPES registry since September 29, 2021.
## Identity
- **NPI:** 1265104152 (Entity type: Organization)
- **Enumerated:** September 29, 2021
- **Primary specialty:** Physical Medicine & Rehabilitation - Pain Medicine · taxonomy 2081P2900X
- **Organization subpart:** No
- **Authorized official:** Jamal Balouch, MEMBER
## Practice location
- **Address:** 1851 N GEMINI DR STE A, Flagstaff, AZ 86001-1607
- **Phone:** (480) 821-9339
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Medicine and Rehabilitation) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265104152) · Data from the CMS NPPES public registry.