Pilar Elise Spishock, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-046628 Issued in AZ

Practice address

4309 E Florian Ave
Mesa, AZ 85206-2798

Phone

(480) 757-2253

NPI assigned

Sep 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Pilar Elise Raynovic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1013490820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6892 W MONTEREY ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261624",
            "telephone_number": "602-615-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 E FLORIAN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062798",
            "telephone_number": "480-757-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPISHOCK",
        "first_name": "PILAR",
        "middle_name": "ELISE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-046628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PILAR",
            "last_name": "RAYNOVIC",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morton H Spiegel, BSC
• Alexis Spielmaker
• Ansley Marie Spiker, PTA
• Spinal Healing Solutions LLC
• Spirit of Sonora Counseling and Wellness PLLC
• Jordan Tierney Spohn
• Josh Sponder, DPT
• Spooner Physical Therapy & Hand Rehab, PC (Spooner Mesa Gateway)
• Carol Anne Spooner, NMD
• Kristina Michelle Spooner, AG-ACNP

• Occupational Therapy Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.