Individual provider Active NPI

Michael Santiago, OT

  • Occupational Therapist
  • Surprise, AZ
National Provider Identifier
1073103990
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3326 Issued in AZ
Practice address
14815 W Bell Rd Ste 110
Surprise, AZ 85374-7603
Phone
(623) 777-1870
Fax
(623) 777-1403
NPI assigned
Jan 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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 3326 AZ Primary

Addresses

Primary practice location

14815 W Bell Rd Ste 110
Surprise, AZ 85374-7603

Mailing address

14815 W Bell Rd Ste 110
Surprise, AZ 85374-7603
Phone (623) 777-1870

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3326AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
True Care Physical Therapy and Rehabilitation, PLLC CurrentSince Jan 31, 2021 Accepting new patients

Locations

14815 W Bell Rd
Ste 110
Surprise, AZ 85374
Phone (623) 777-1870

Organizations & group practices 1

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1073103990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 W BELL RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747603",
            "telephone_number": "623-777-1870",
            "fax_number": "623-777-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 W BELL RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747603",
            "telephone_number": "623-777-1870",
            "fax_number": "623-777-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "MICHAEL",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.