MEDICARE: LIFEQUEST PHYSICAL MEDICINE AND REHAB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1538773445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEQUEST PHYSICAL MEDICINE AND REHAB

Provider Business Mailing Address
First Line	:	1050 E RAY RD STE 4A
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-1777
Country	:	US
Telephone Number	:	480-659-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 E RAY RD STE 4A
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-1777
Country	:	US
Telephone Number	:	480-659-2000
Fax Number	:

Authorized Official
Title or Position	:	BILLING SPECIALIST
Name	:	BRI MALONE
Credential	:
Telephone Number	:	480-659-2000

Provider Enumeration Date	:	09/08/2020
Last Update Date	:	09/08/2020

Similar Medicare Providers

1326005984 — DR. CRAIG SCHARF DC
Practice Location Address:

1050 E RAY RD , SUITE 4-A
CHANDLER, AZ
85225-1777

Practice Phone: 480-659-2000
Practice Fax:

1336789437 — MALLORY MCKINNEY DC
Practice Location Address:

1050 E RAY RD STE 4A
CHANDLER, AZ
85225-1777

Practice Phone: 480-659-2000
Practice Fax: 480-659-3201

1023415726 — CASSANDRA DORAME
Practice Location Address:

1050 E RAY RD STE 4A
CHANDLER, AZ
85225-1777

Practice Phone: 480-659-2000
Practice Fax: 480-659-3201

1811154131 — MR. MATTHEW JAMES EMMONS
Practice Location Address:

1050 E RAY RD STE 4A
CHANDLER, AZ
85225-1777

Practice Phone: 480-659-2000
Practice Fax: 480-659-3201

1467634626 — LIFEQUEST CHIROPRACTIC AND MASSAGE, LLC
Practice Location Address:

1050 E RAY RD STE 4-A
CHANDLER, AZ
85225-1777

Practice Phone: 480-659-2000
Practice Fax:

1407491921 — CHANDLER RAY 1 LLC
Practice Location Address:

1050 E RAY RD STE 4A
CHANDLER, AZ
85225-1777

Practice Phone: 480-659-2000
Practice Fax: 480-659-3201

Directions to “LIFEQUEST PHYSICAL MEDICINE AND REHAB ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.