OrganizationActive
The Longevity and Wellness Clinic
NPI 1255204988 · Integrative Medicine Physician · Gilbert, AZ
Provider details
- NPI number
- 1255204988
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terrence Crowder, Owner(480) 710-3085
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3317 S Higley Rd Ste 114-418
Gilbert, AZ 85297-5436
Phone: (480) 710-3085
Street-level locationGet directions
Mailing address
3317 S Higley Rd Ste 114-418
Gilbert, AZ 85297-5436
Registry dates
- Enumerated
- 2025-09-29
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.