Individual provider Active NPI

Michael Rutar

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1013589654
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-008107 Issued in AZ
Practice address
1951 W Camelback Rd Ste 450
Phoenix, AZ 85015-3474
Phone
(320) 267-8360
NPI assigned
Jul 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 OTH-008107 AZ Primary

Addresses

Primary practice location

1951 W Camelback Rd Ste 450
Phoenix, AZ 85015-3474

Mailing address

1951 W Camelback Rd Ste 450
Phoenix, AZ 85015-3474
Phone (320) 267-8360

Other practice location 1

5806 S 35th Ave
Phoenix, AZ 85041-4371
Phone (320) 267-8360

Other practice location 2

6301 W Indian School Rd
Phoenix, AZ 85033-3326
Phone (320) 267-8360

Other identifiers 2

IdentifierTypeStateIssuer
OTH-008107OtherAZARIZONA BOARD OF OCCUPATIONAL THERAPY EXAMINERS
424259OtherTHE NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY

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

LicenseStateTypeSpecialty
OTH-008107AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Therapies, LLC Occupational Therapist CurrentSince Mar 20, 2025 Accepting new patients

Locations

1951 W Camelback Rd
Ste 450
Phoenix, AZ 85015
Phone (602) 601-2401

Organizations & group practices 1

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1013589654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 W CAMELBACK RD STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153474",
            "telephone_number": "320-267-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W CAMELBACK RD STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153474",
            "telephone_number": "320-267-8360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5806 S 35th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850414371",
            "country_code": "US",
            "telephone_number": "320-267-8360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 W Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850333326",
            "country_code": "US",
            "telephone_number": "320-267-8360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTAR",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "OTH-008107",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "424259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.