Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanced Spine and Rehab PC

Organization Chiropractor · NPI 1922020858

Advanced Spine and Rehab PC provides Chiropractor services in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4540 E Baseline Rd Ste 111
Mesa, AZ 85206-4616
Phone: (480) 892-1122
Fax: (480) 892-2243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5639 (AZ)
Chiropractor Taxonomy 111N00000X · Licence 5447 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1922020858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Crismon — Partner · (480) 892-1122
NPI enumeratedJuly 23, 2006
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address4540 E Baseline Rd Ste 111, Mesa, AZ 85206-4616

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