Cori Lynn Pooley, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTH-007517 Issued in AZ

Practice address

5040 E Shea Blvd Ste 168
Scottsdale, AZ 85254-4686

Phone

(480) 483-1025

NPI assigned

Jun 26, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kidzspot Pediatric Therapy-East Valley

  • Pediatric Occupational Therapist
  • Mesa, AZ
  • NPI 1588720825

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1104311752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21155 N 56TH ST APT 2094",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545530",
            "telephone_number": "520-414-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 E SHEA BLVD STE 168",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544686",
            "telephone_number": "480-483-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLEY",
        "first_name": "CORI",
        "middle_name": "LYNN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "OTH-007517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ponce
• Pongratz Orthotics & Prosthetics, Inc.
• Poole Chiropractic, PLLC
• Dawn Michele Poole, LPN
• Julia K Poole, LCSW
• Steven Poon, MD
• Tiffany Poon, M.D.
• David Pope, DC
• John A Pope, M.D.
• Brian James Popiel, NMD

• 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 26, 2018; 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.