Active NPI
Jessica S Woods, COTA
- Occupational Therapy Assistant
- Litchfield Park, AZ
National Provider Identifier
1063670404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4158
- Practice address
- 14154 S Denny Blvd
Litchfield Park, AZ 85340-9431 - Phone
- (623) 537-7500
- NPI assigned
- May 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32001614A | IN | |
| Occupational Therapy Assistant | 224Z00000X | 4158 | AZ | Primary |
Addresses
Primary practice location
14154 S Denny Blvd
Litchfield Park, AZ 85340-9431
Mailing address
11443 N 91St Dr
Peoria, AZ 85345-5550
Phone (928) 910-9394
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4158 | AZ | MD | Prosthodontist |
| 32001614A | IN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1063670404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11443 N 91ST DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853455550",
"telephone_number": "928-910-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14154 S DENNY BLVD",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409431",
"telephone_number": "623-537-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "JESSICA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-31",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IN",
"license": "32001614A",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "4158",
"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 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.