LIFEQUEST PHYSICAL MEDICINE & REHAB
NPI 1407467962
Physical Medicine & Rehabilitation in Gilbert, AZ

NPI Status: Active since August 10, 2020

Contact Information

4049 E. WILLIAMS FIELD RD
SUITE 101
GILBERT, AZ
ZIP 85295
Phone: (480) 597-9497
Fax: (480) 597-9484

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  • Organization
  • Physical Medicine & Rehabilitation
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 03D2189861
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-05-2026

About LIFEQUEST PHYSICAL MEDICINE & REHAB

This page provides the complete NPI Profile along with additional information for Lifequest Physical Medicine & Rehab, a provider established in Gilbert, Arizona operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1407467962 assigned on August 2020. The practitioner's primary taxonomy code is 208100000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Lifequest Physical Medicine & Rehab. The authorized official of this NPI record is Andria Taylor (Office Manager)

NPI
1407467962
Provider Legal Name
GILBERT RECKER 2, LLC
Other Organization Name
LIFEQUEST PHYSICAL MEDICINE & REHAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4049 E. WILLIAMS FIELD RD SUITE 101 GILBERT, AZ 85295
Location Phone
(480) 597-9497
Location Fax
(480) 597-9484
Mailing Address
4049 E WILLIAMS FIELD RD. SUITE 101 GILBERT, AZ 85295
Mailing Phone
(480) 597-9497
Mailing Fax
(480) 597-9484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-10-2020
Last Update Date
08-31-2023
Code Navigator



Lifequest Physical Medicine & Rehab is a medicare supplier with PTAN 24547032 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Neuromuscular Elect Stimulators (NMES)/Supplies or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANDRIA TAYLOR

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(480) 597-9497

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
24547032
Accepts Medicare Assignment
YES
Provider Type List
PHYSICIAN ASSISTANT.
Competitive Bidding
NO

Supplies List

  • Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2189861
Facility Type
Physician Office
Certificate Effective Date
August 06, 2024
Certificate Expiration Date
August 05, 2026
Laboratory Director
KAYLEE NELSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lifequest Physical Medicine & Rehab to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407467962, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 8 + 6 + 1 + 4 + 9 + 1 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1407467962.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407467962, enumerated as an "organization" on August 10, 2020.

The provider is located at 4049 E. WILLIAMS FIELD RD SUITE 101 GILBERT, AZ 85295 and the phone number is (480) 597-9497.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.