REHAB SPECIALISTS OUTPATIENT LLC
NPI 1407523657
Clinic/Center in Tempe, AZ

Q: What is Rehab Specialists Outpatient LLC's NPI number?

The NPI number for Rehab Specialists Outpatient LLC is 1407523657. It was assigned to this organization in the NPPES registry on August 25, 2021. The provider is doing business as AgeSTRONG Mirabella ASU.

Q: What is Rehab Specialists Outpatient LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since August 25, 2021

65 E UNIVERSITY DR, TEMPE, AZ 85281(971) 206-5200 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2023, Aug 25, 2021 (2 updates tracked since 2021).

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About Rehab Specialists Outpatient Llc NPPES

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

REHAB SPECIALISTS OUTPATIENT LLC (NPI 1407523657), doing business as Agestrong Mirabella Asu, is a healthcare organization registered as a clinic/center in Tempe, Arizona and active in the NPI registry since August 2021. The organization lists Phillip G Fogg, Owner, as its authorized official.

NPPES Registry Identity

NPI1407523657

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameREHAB SPECIALISTS OUTPATIENT LLC

Location Address65 E UNIVERSITY DRTempe, AZ 85281-1091

Mailing Address4560 Se International Way Ste 100Milwaukie, OR 97222-4628 · (971) 206-5200

Phone(971) 206-5200

Organization SubpartYes

Authorized OfficialPhillip G FoggOwner · (971) 206-5200

Enumeration DateAugust 25, 2021

Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1407523657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

65 E UNIVERSITY DR, Tempe, AZ 85281

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Other Names 1

Doing Business AsAgestrong Mirabella Asu

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

Other Providers at the Same Location NPPES 15

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

MARCUS MARTINEZ

Physical Therapy Assistant