Organization Active NPI

Pediatrics in the Pines

  • Occupational Therapist
  • Prescott, AZ
National Provider Identifier
1043063779
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Jun 3, 2024

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.