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PLATINUM MEDICAL GROUP OF ARIZONA LLC
NPI 1881065670
Chiropractor in Phoenix, AZ

Active since October 19, 2015
4722 E RAY RD STE 5, PHOENIX, AZ 85044(480) 460-1399(480) 460-1880 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 7, 2026, Sep 23, 2024 (2 updates tracked since 2024).

About Platinum Medical Group Of Arizona Llc NPPES

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

PLATINUM MEDICAL GROUP OF ARIZONA LLC (NPI 1881065670), doing business as Life Chiropractic, is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since October 2015. The organization maintains a secondary practice location in Scottsdale and lists Irasela Borquez, Office Manager/financial Director, as its authorized official.

NPPES Registry Identity

NPI1881065670
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePLATINUM MEDICAL GROUP OF ARIZONA LLC
Location Address4722 E RAY RD STE 5Phoenix, AZ 85044-6226
Mailing Address4722 E Ray Rd Ste 5Phoenix, AZ 85044-6226 · (480) 460-1399 · Fax (480) 460-1880
Phone(480) 460-1399
Fax(480) 460-1880
Organization SubpartNo
Authorized OfficialIrasela BorquezOffice Manager/financial Director · (480) 460-1399
Enumeration DateOctober 19, 2015
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1881065670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedNurse PractitionerTaxonomy 363L00000X
4722 E RAY RD STE 5, Phoenix, AZ 85044
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Other Names 1

Doing Business AsLife Chiropractic

Secondary Practice Location 1

Location 18900 E Pinnacle Peak Rd Ste E5Scottsdale, AZ 85255-3648 · Phone (480) 460-1399

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Platinum Medical Group Of Arizona Llc 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 Platinum Medical Group Of Arizona LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marcy Dionisio, D.C.
Chiropractic
NPI 1295818136
4722 E RAY RD STE 5
Phoenix, AZ 85044
(480) 460-1399
✔ Accepts MedicareSame address

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 Platinum Medical Group Of Arizona LLC's NPI number?

The NPI number for Platinum Medical Group Of Arizona LLC is 1881065670. It was assigned to this organization in the NPPES registry on October 19, 2015. The provider is doing business as Life Chiropractic.

Where is Platinum Medical Group Of Arizona LLC located?

Platinum Medical Group Of Arizona LLC is located at 4722 E Ray Rd Ste 5, Phoenix, AZ 85044. The listed phone number is (480) 460-1399.

What is Platinum Medical Group Of Arizona LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Platinum Medical Group Of Arizona LLC enrolled in Medicare?

Yes. Platinum Medical Group Of Arizona LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Platinum Medical Group Of Arizona LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Platinum Medical Group Of Arizona LLC. 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 Platinum Medical Group Of Arizona LLC was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.