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SOUTHWEST PHYSIATRY PLLC
NPI 1407367139
Physical Medicine & Rehabilitation - Sports Medicine in Phoenix, AZ

Active since October 20, 2017
4550 E BELL RD STE 152, PHOENIX, AZ 85032(617) 538-3650(888) 384-2827 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 22, 2026, Jun 5, 2026, Oct 6, 2025 and 1 more (4 updates tracked since 2017).

About Southwest Physiatry Pllc NPPES

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

SOUTHWEST PHYSIATRY PLLC (NPI 1407367139) is a healthcare organization registered as a sports medicine in Phoenix, Arizona and active in the NPI registry since October 2017. The organization lists Michael Crincoli, President, as its authorized official.

NPPES Registry Identity

NPI1407367139
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameSOUTHWEST PHYSIATRY PLLC
Location Address4550 E BELL RD STE 152Phoenix, AZ 85032-9382
Mailing Address10243 N 24th StPhoenix, AZ 85028-3606 · (617) 538-3650 · Fax (888) 384-2827
Phone(617) 538-3650
Fax(888) 384-2827
Organization SubpartNo
Authorized OfficialMichael CrincoliPresident · (617) 538-3650
Enumeration DateOctober 20, 2017
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1407367139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed · 44220
Definition
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.
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
4550 E BELL RD STE 152, Phoenix, AZ 85032
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Physiatry 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 Southwest Physiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Crincoli, M.D.
Physical Medicine and Rehabilitation
NPI 1497728372
1601 E 19TH AVE STE 3650
Denver, CO 80218
(720) 583-5379
✔ PECOS✔ Accepts Medicare573 mi

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 Southwest Physiatry PLLC's NPI number?

The NPI number for Southwest Physiatry PLLC is 1407367139. It was assigned to this organization in the NPPES registry on October 20, 2017.

Where is Southwest Physiatry PLLC located?

Southwest Physiatry PLLC is located at 4550 E Bell Rd Ste 152, Phoenix, AZ 85032. The listed phone number is (617) 538-3650.

What is Southwest Physiatry PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Southwest Physiatry PLLC enrolled in Medicare?

Yes. Southwest Physiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Physiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Southwest Physiatry 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 Southwest Physiatry PLLC was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.