JKL RESTORATIVE PLLC
NPI 1912777624
Physical Medicine & Rehabilitation in Mesa, AZ

Active since January 03, 2024
5652 E BASELINE RD, MESA, AZ 85206(480) 567-0350 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jkl Restorative Pllc NPPES

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

JKL RESTORATIVE PLLC (NPI 1912777624) is a healthcare organization registered as a physical medicine & rehabilitation in Mesa, Arizona and active in the NPI registry since January 2024. The organization lists John Lopez, Owner & Physician, as its authorized official.

NPPES Registry Identity

NPI1912777624
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameJKL RESTORATIVE PLLC
Location Address5652 E BASELINE RDMesa, AZ 85206-4713
Mailing Address8102 E Cypress StScottsdale, AZ 85257-2815
Organization SubpartNo
Authorized OfficialJohn LopezOwner & Physician · (443) 974-6166
Enumeration DateJanuary 3, 2024
NPPES CertifiedJanuary 3, 2024
✔ NPI 1912777624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
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.
5652 E BASELINE RD, Mesa, AZ 85206

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 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)

Jkl Restorative 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 Jkl Restorative PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1245692706
5652 E BASELINE RD
Mesa, AZ 85206
(480) 567-0350
✔ PECOS✔ 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 Jkl Restorative PLLC's NPI number?

The NPI number for Jkl Restorative PLLC is 1912777624. It was assigned to this organization in the NPPES registry on January 3, 2024.

Where is Jkl Restorative PLLC located?

Jkl Restorative PLLC is located at 5652 E Baseline Rd, Mesa, AZ 85206. The listed phone number is (480) 567-0350.

What is Jkl Restorative PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Jkl Restorative PLLC enrolled in Medicare?

Yes. Jkl Restorative PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jkl Restorative PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Jkl Restorative 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 Jkl Restorative PLLC was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.