Individual provider Active NPI

Susan Maranto, COTA/L

  • Occupational Therapy Assistant
  • Phoenix, AZ
National Provider Identifier
1043931603
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4410 Issued in AZ
Practice address
4141 N S Herrera Way
Phoenix, AZ 85012-1814
Phone
(602) 248-1550
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4410 AZ Primary

Addresses

Primary practice location

4141 N S Herrera Way
Phoenix, AZ 85012-1814

Mailing address

6708 W McKinley St
Phoenix, AZ 85043-2330
Phone (480) 729-4129

Other practice location 1

4141 N S Herrera Way
Phoenix, AZ 85012-1814
Phone (602) 248-1550

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

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1043931603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 W MCKINLEY ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850432330",
            "telephone_number": "480-729-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N S HERRERA WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121814",
            "telephone_number": "602-248-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 N S Herrera Way",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850121814",
            "country_code": "US",
            "telephone_number": "602-248-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARANTO",
        "first_name": "SUSAN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "4410",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 12, 2022; 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.