DESERT RIDGE MEDICAL LLC
NPI 1265930614
Physical Medicine & Rehabilitation in Phoenix, AZ

Active since January 30, 2018CLIA 03D2153676 · Waiver
26224 N TATUM BLVD STE 11, PHOENIX, AZ 85050(480) 634-6400(480) 404-9649 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desert Ridge Medical Llc NPPES

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

DESERT RIDGE MEDICAL LLC (NPI 1265930614) is a healthcare organization registered as a physical medicine & rehabilitation in Phoenix, Arizona and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Challen Waychoff, Coo/manager, as its authorized official.

NPPES Registry Identity

NPI1265930614
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameDESERT RIDGE MEDICAL LLC
Location Address26224 N TATUM BLVD STE 11Phoenix, AZ 85050-7500
Mailing Address3724 N 3rd St Ste 301Phoenix, AZ 85012-2035 · (480) 634-6400 · Fax (480) 404-9649
Fax(480) 404-9649
Organization SubpartNo
Authorized OfficialChallen WaychoffCoo/manager · (480) 634-6400
Enumeration DateJanuary 30, 2018
NPI 1265930614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
26224 N TATUM BLVD STE 11, Phoenix, AZ 85050

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2153676

Desert Ridge Medical Group LLC · Phoenix, AZ
Active · expires Aug 27, 2026
CLIA Number03D2153676
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorMartha Reyes
Laboratory Phone(480) 306-7832
Laboratory LocationDesert Ridge Medical Group LLC21001 N Tatum Blvd Suite 78-1640, Phoenix, AZ 85050
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Specialist
26224 N TATUM BLVD STE 11
PHOENIX, AZ 85050

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 Desert Ridge Medical LLC's NPI number?

The NPI number for Desert Ridge Medical LLC is 1265930614. It was assigned to this organization in the NPPES registry on January 30, 2018.

Where is Desert Ridge Medical LLC located?

Desert Ridge Medical LLC is located at 26224 N Tatum Blvd Ste 11, Phoenix, AZ 85050. The listed phone number is (480) 634-6400.

What is Desert Ridge Medical LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Does Desert Ridge Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2153676) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Desert Ridge Medical LLC was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.