Individual provider Active NPI

Robyn Tillman James, COTA/L

  • Specialist
  • Litchfield Park, AZ
National Provider Identifier
1033464474
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5112 Issued in AZ
Practice address
5220 N Dysart Rd
B 112
Litchfield Park, AZ 85340-3045
Phone
(623) 935-6040
Fax
(623) 935-6046
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5112 AZ Primary

Addresses

Primary practice location

5220 N Dysart Rd
B 112
Litchfield Park, AZ 85340-3045

Mailing address

5220 N Dysart Rd
B 112
Litchfield Park, AZ 85340-3045
Phone (623) 935-6040

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
5112AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1033464474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 N DYSART RD",
            "address_2": "B 112",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403045",
            "telephone_number": "623-935-6040",
            "fax_number": "623-935-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 N DYSART RD",
            "address_2": "B 112",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403045",
            "telephone_number": "623-935-6040",
            "fax_number": "623-935-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ROBYN",
        "middle_name": "TILLMAN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "5112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.