Candace B Ortiz

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-009565 Issued in AZ

Practice address

12428 W Thunderbird Rd
El Mirage, AZ 85335-3113

Phone

(623) 399-6159

Fax

(623) 399-6416

NPI assigned

Mar 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Candace Shaw Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midwestern University

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
  • NPI 1932206414
  Medicare reassignment NPD
• Midwestern University

  • Optometrist
  • Glendale, AZ
  • NPI 1891017745

  Occupational Therapist

  NPD
• Midwestern University

  • Optometrist
  • Downers Grove, IL
  • NPI 1295126324
  NPD
• Smart Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Goodyear, AZ
  • NPI 1356681076
  NPD (past)

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1093574048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12428 W THUNDERBIRD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353113",
            "telephone_number": "623-399-6159",
            "fax_number": "623-399-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12428 W THUNDERBIRD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353113",
            "telephone_number": "623-399-6159",
            "fax_number": "623-399-6416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5815 W Utopia Road",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "85308",
            "country_code": "US",
            "telephone_number": "623-537-6000",
            "fax_number": "623-537-6014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "CANDACE",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-009565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "SHAW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Armand C Ntwari, LAC
• Eucharia Nwabichie
• Reisha Oarde, DPM
• Mary Elizabeth Odom
• Jennifer Olague Carranza
• Nicole Osofsky
• Brenda Patricia Palacios Zaragoza, MA
• Matthew Parrow, LCPC
• Mary Beth Paul, LPN
• Patricia Pedroso Balsells

• Occupational Therapist in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.