Individual provider Active NPI

Michelle Czuba

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1043759566
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6743 Issued in AZ
Practice address
21045 N 9TH PL Ste 204
Phoenix, AZ 85024-5635
Phone
(602) 726-2300
Fax
(602) 726-2322
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 6743 AZ Primary

Addresses

Primary practice location

21045 N 9TH PL Ste 204
Phoenix, AZ 85024-5635

Mailing address

21045 N 9TH PL Ste 204
Phoenix, AZ 85024-5635
Phone (602) 723-2300

Other practice location 1

1745 S Alma School Rd
Suite 145
Mesa, AZ 85210-3009
Phone (480) 963-3634

Other identifiers 1

IdentifierTypeStateIssuer
255953MedicaidAZ

Other names 1

  • Michelle Tucker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930003460 AZ Practitioner - Occupational Therapist in Private Practice 6901134162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Utah School of Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1282 E Geronimo PL
Chandler, AZ 85225-2048

21045 N 9TH PL
Suite 204
Phoenix, AZ 85024-5635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6743AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay4Kidz, LLC Occupational Therapist CurrentSince Jul 18, 2025 Accepting new patients
Baio Enterprises Past Accepting new patients
Baio Enterprises Inc PastSince Sep 1, 2018 Accepting new patients

Locations

21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601

530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004

9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946

Organizations & group practices 3

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": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1043759566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21045 N 9TH PL STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245635",
            "telephone_number": "602-723-2300",
            "fax_number": "602-726-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21045 N 9TH PL STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245635",
            "telephone_number": "602-726-2300",
            "fax_number": "602-726-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1745 S Alma School Rd",
            "address_2": "Suite 145",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852103009",
            "country_code": "US",
            "telephone_number": "480-963-3634",
            "fax_number": "480-855-8384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZUBA",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255953",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TUCKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.