Active NPI
Pediatrics in the Pines
- Occupational Therapist
- Prescott, AZ
National Provider Identifier
1043063779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- PEDIATRICS IN THE PINES
- Practice address
- 242 Whipple St Ste 1
Prescott, AZ 86301-1789 - Phone
- (623) 693-4064
- NPI assigned
- Apr 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherrie Wethey, OT/L
- Title
- Owner and Therpaist
- Phone
- (623) 693-4064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
242 Whipple St Ste 1
Prescott, AZ 86301-1789
Mailing address
242 Whipple St Ste 1
Prescott, AZ 86301-1789
Phone (623) 693-4064
Other names 1
- Occupational Therapsit
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717372800000",
"number": "1043063779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 WHIPPLE ST STE 1",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011789",
"telephone_number": "623-693-4064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 WHIPPLE ST STE 1",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011789",
"telephone_number": "623-693-4064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRICS IN THE PINES",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-11",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "WETHEY",
"authorized_official_first_name": "SHERRIE",
"authorized_official_title_or_position": "OWNER AND THERPAIST",
"authorized_official_telephone_number": "623-693-4064",
"authorized_official_credential": "OT/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Occupational Therapsit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.