Pinetop-Lakeside Integrative & Physical Medicine,llc
NPI 1376864462 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Lakeside, AZ
Pinetop-Lakeside Integrative & Physical Medicine,llc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Lakeside, AZ (NPI 1376864462).
Provider details
- NPI number
- 1376864462
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Mar, Manager(928) 358-1648
- License
- 34673 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2010-06-13
- Last updated
- 2010-06-13
Frequently asked questions
- What is Pinetop-Lakeside Integrative & Physical Medicine,llc's NPI number?
- Pinetop-Lakeside Integrative & Physical Medicine,llc's National Provider Identifier (NPI) is 1376864462, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pinetop-Lakeside Integrative & Physical Medicine,llc?
- Pinetop-Lakeside Integrative & Physical Medicine,llc is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Pinetop-Lakeside Integrative & Physical Medicine,llc located?
- Pinetop-Lakeside Integrative & Physical Medicine,llc's practice location on file with NPPES is 1628 Reed Ln, Lakeside, AZ 85929-6983.
- What is Pinetop-Lakeside Integrative & Physical Medicine,llc's phone number?
- The practice phone number listed in the NPPES registry for Pinetop-Lakeside Integrative & Physical Medicine,llc is (928) 358-1648.
- Who is the authorized official for Pinetop-Lakeside Integrative & Physical Medicine,llc?
- The authorized official listed on Pinetop-Lakeside Integrative & Physical Medicine,llc's NPPES record is Kevin Mar, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pinetop-Lakeside Integrative & Physical Medicine,llc's NPI active?
- Yes — Pinetop-Lakeside Integrative & Physical Medicine,llc's NPI (1376864462) is active in the NPPES registry as of the last update on 2010-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.