Active NPI
Betty Jean Naylor, COTA/L
- Occupational Therapy Assistant
- Sedona, AZ
National Provider Identifier
1104101534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2046
- Practice address
- 505 Jacks Canyon Road
Sedona, AZ 86351-7856 - Phone
- (928) 284-2411
- NPI assigned
- Oct 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2046 | AZ | Primary |
Addresses
Primary practice location
505 Jacks Canyon Road
Sedona, AZ 86351-7856
Mailing address
10407-1 N. 11TH St
Phoenix, AZ 85020-8544
Phone (602) 619-9565
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2046 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1104101534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10407-1 N. 11TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850208544",
"telephone_number": "602-619-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 JACKS CANYON ROAD",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863517856",
"telephone_number": "928-284-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYLOR",
"first_name": "BETTY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "2046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.