Tara Lakes, OT/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTH-006632 Issued in AZ

Practice address

10049 E Dynamite Blvd Ste 130
Scottsdale, AZ 85262-3695

Phone

(480) 419-0848

NPI assigned

Jun 3, 2026

Last updated

Jun 3, 2026By the provider in NPPES

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

• Tara Bristol Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1093647885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18126 W PUGET AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853557505",
            "telephone_number": "317-985-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10049 E DYNAMITE BLVD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623695",
            "telephone_number": "480-419-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKES",
        "first_name": "TARA",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "OTH-006632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "BRISTOL",
            "credential": "OT/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chantal Laing
• Brecken R Laizure, PSY.D.
• Jesse David Laizure
• Laja Treatment Center PLLC
• Latanya Lake
• Douglas M. Lakin, M.D.
• Melissa Nicole Lakin, M.C., LAC
• Kathryn Lakvold, SLPA
• Karan Lal, DO
• Christina Helen Lalan, LPC

• Pediatric Occupational Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatric Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.