Active NPI
Amy Miner, COTA
- Occupational Therapy Assistant
- Mesa, AZ
National Provider Identifier
1003364027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 12049A
- Practice address
- 6840 E Brown Rd Ste 104
Mesa, AZ 85207-3759 - Phone
- (480) 202-4008
- Fax
- (888) 375-1033
- NPI assigned
- Sep 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 12049A | AZ | Primary |
Addresses
Primary practice location
6840 E Brown Rd Ste 104
Mesa, AZ 85207-3759
Mailing address
6840 E Brown Rd Ste 104
Mesa, AZ 85207-3759
Phone (480) 202-4008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12049A | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1003364027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 E BROWN RD STE 104",
"city": "MESA",
"state": "AZ",
"postal_code": "852073759",
"telephone_number": "480-202-4008",
"fax_number": "888-375-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6840 E BROWN RD STE 104",
"city": "MESA",
"state": "AZ",
"postal_code": "852073759",
"telephone_number": "480-202-4008",
"fax_number": "888-375-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "AMY",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-19",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "12049A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.