MOUNTAINSIDE FITNESS ACQUISITIONS, LLC
NPI 1639769649
Physical Medicine & Rehabilitation - Sports Medicine in Glendale, AZ

Active since January 23, 2021
2020 N. 75TH AVENUE, GLENDALE, AZ 85308(480) 625-0228 Get Directions Write a Review

NPPES record last updated: January 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physical Medicine & Rehabilitation
  • Sports Medicine

About MOUNTAINSIDE FITNESS ACQUISITIONS, LLC

This page provides the complete NPI Profile along with additional information for Mountainside Fitness Acquisitions, Llc, a provider established in Glendale, Arizona operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1639769649 assigned on January 2021. The practitioner's primary taxonomy code is 2081S0010X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Mountainside Fitness Acquisitions, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Eileen Ahern (Credentialist)

NPI
1639769649 Verify this NPI
Provider Name
MOUNTAINSIDE FITNESS ACQUISITIONS, LLC
Entity Type
Organization
Location Address
2020 N. 75TH AVENUE GLENDALE, AZ 85308
Location Phone
(480) 625-0228
Mailing Address
7135 E CAMELBACK RD SCOTTSDALE, AZ 85251
Mailing Phone
(480) 706-8963
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2021
Last Update Date
01-23-2021
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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 Sports Medicine

Taxonomy Code
2081S0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

EILEEN AHERN

Authorized Official Title
CREDENTIALIST
Authorized Official Phone
(800) 954-1800

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639769649, enumerated as an "organization" on January 23, 2021.

The provider is located at 2020 N. 75TH AVENUE GLENDALE, AZ 85308 and the phone number is (480) 625-0228.

Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.