{"npi":"1649411778","type":"NPI-2","status":"active","name":{"display":"Desert Spine And Sports Physicians PLLC","other":[],"organization_name":"DESERT SPINE AND SPORTS PHYSICIANS PLLC","authorised_official":"Brad Sorosky"},"specialty":{"primary_taxonomy":"208100000X","primary_taxonomy_description":"Physical Medicine & Rehabilitation","slug":"physical-medicine-rehabilitation","schema_org_specialty":"Musculoskeletal","all":[{"code":"2081P2900X","description":"Pain Medicine (Physical Medicine & Rehabilitation) Physician","primary":false,"state":"AZ","license":"33710"},{"code":"2081S0010X","description":"Sports Medicine (Physical Medicine & Rehabilitation) Physician","primary":false,"state":"AZ","license":"33710"},{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":true,"state":"AZ","license":"33710"}]},"addresses":[{"purpose":"LOCATION","street_1":"3700 N 24TH ST STE 210","city":"PHOENIX","state":"AZ","postal_code":"850166536","country_code":"US","phone":"6028400681","fax":"6029571570"},{"purpose":"MAILING","street_1":"3700 N 24TH ST STE 210","city":"PHOENIX","state":"AZ","postal_code":"850166536","country_code":"US","phone":"6028400681","fax":"6029571570"}],"license":{"state":"AZ","number":"33710"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"417749","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090707000208","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AZ","pac_id":"6608927504"}]},"enumeration_date":"2009-03-19","last_updated":"2025-07-15","_meta":{"source":"NPPES","snapshot_date":"2025-07-15","doc_url":"https://findmynpi.com/api"}}