Individual provider Active NPI

Veda Marie Collmer, OTR/L

  • Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1003094475
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007574 Issued in NY
Practice address
5146 W Whispering Wind Dr
Glendale, AZ 85310-2910
Phone
(508) 951-0264
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007574 NY Primary

Addresses

Primary practice location

5146 W Whispering Wind Dr
Glendale, AZ 85310-2910

Mailing address

5146 W Whispering Wind Dr
Glendale, AZ 85310-2910
Phone (508) 951-0264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022001975 AZ Practitioner - Occupational Therapist in Private Practice 5193852655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Rehab LLCGroup PAC ID 0143478453, 25 clinicians

Practice addresses (Care Compare)

13500 N Rancho Vistoso Blvd
Oro Valley, AZ 85755-5951
Phone (888) 381-8889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vedaot LLC Current Accepting new patients
Independence Rehab, LLC Occupational Therapist CurrentSince Jul 17, 2021 Accepting new patients

Locations

2620 N 68th St
Scottsdale, AZ 85257
Phone (480) 946-6571

5314 N River Run Dr
Ste 140
Provo, UT 84604
Phone (801) 471-2449

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1003094475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5146 W WHISPERING WIND DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102910",
            "telephone_number": "508-951-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5146 W WHISPERING WIND DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102910",
            "telephone_number": "508-951-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLMER",
        "first_name": "VEDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.