Individual provider Active NPI

Kendra Mitchell Schaner, OTR/L

  • Pediatric Occupational Therapist
  • Scottsdale, AZ
National Provider Identifier
1083902910
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4786 Issued in AZ
Practice address
14825 N 54TH PL
Scottsdale, AZ 85254-2369
Phone
(480) 242-5903
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 4786 AZ Primary

Addresses

Primary practice location

14825 N 54TH PL
Scottsdale, AZ 85254-2369

Mailing address

14825 N 54TH PL
Scottsdale, AZ 85254-2369
Phone (480) 242-5903

Other practice location 1

1641 E Osborn Rd
Suite 1
Phoenix, AZ 85016-7146
Phone (602) 265-4124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806002946 AZ Practitioner - Occupational Therapist in Private Practice 6103241229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay4Kidz, LLC Occupational Therapist CurrentSince Jul 15, 2020 Accepting new patients
Fiesta Pediatric Therapy Pediatrics Past Accepting new patients
Wheels on the Bus, Inc. Past Accepting new patients

Locations

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1083902910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N 54TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542369",
            "telephone_number": "480-242-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N 54TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542369",
            "telephone_number": "480-242-5903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1641 E Osborn Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167146",
            "country_code": "US",
            "telephone_number": "602-265-4124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHANER",
        "first_name": "KENDRA",
        "middle_name": "MITCHELL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "4786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.