Healthcare Provider Details

I. General information

NPI: 1972744944
Provider Name (Legal Business Name): CONTINUUM GROUP WEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2009
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 N 44TH ST STE 101A
PHOENIX AZ
85008-1583
US

IV. Provider business mailing address

8230 LEESBURG PIKE STE 740
VIENNA VA
22182-2641
US

V. Phone/Fax

Practice location:
  • Phone: 480-990-9095
  • Fax: 480-941-1233
Mailing address:
  • Phone: 703-506-0123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4858
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number32912
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number6029
License Number StateAZ

VIII. Authorized Official

Name: DR. MICHAEL WEINBERG
Title or Position: OWNER
Credential: MD
Phone: 480-990-9095