Tumble Tots Arizona

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

TUMBLE TOTS ARIZONA

Practice address

300 E Camino del Pinsapo
Sahuarita, AZ 85629-8739

Phone

(520) 599-3807

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Carissa A Carillo, COTA/L

Title

Owner

Phone

(520) 599-3807

Specialties & licenses 1

Addresses

Other names 1

• The OT Space Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carissa Angelique Carrillo, COTA/L

  • Occupational Therapy Assistant
  • Sahuarita, AZ
  • NPI 1003673260
  NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1093566754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E CAMINO DEL PINSAPO",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298739",
            "telephone_number": "520-599-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E CAMINO DEL PINSAPO",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298739",
            "telephone_number": "520-599-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUMBLE TOTS ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "CARILLO",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-599-3807",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The OT Space",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Sahuarita, AZ
• Pediatric Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.