Active NPI
Sue Dahl-Popolizio, OT
- Occupational Therapist
- Sun City, AZ
National Provider Identifier
1124156518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1333
- Practice address
- 10494 W Thunderbird Blvd
Suite 102
Sun City, AZ 85351-3058 - Phone
- (623) 537-5600
- Fax
- (623) 537-5601
- NPI assigned
- Feb 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1333 | AZ | Primary |
| Hand Occupational Therapist | 225XH1200X | 1333 | AZ |
Addresses
Primary practice location
10494 W Thunderbird Blvd
Suite 102
Sun City, AZ 85351-3058
Mailing address
3010 W Agua Fria Fwy
Suite 100
Phoenix, AZ 85027-3943
Phone (623) 537-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220501 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1333 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| Center for Orthopedic Research and Education, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1518282474
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Payson, AZ
- NPI 1497222632
-
dba The CORE Institute
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250899200000",
"number": "1124156518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 W AGUA FRIA FWY",
"address_2": "SUITE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273943",
"telephone_number": "623-537-5600",
"fax_number": "623-537-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10494 W THUNDERBIRD BLVD",
"address_2": "SUITE 102",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513058",
"telephone_number": "623-537-5600",
"fax_number": "623-537-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL-POPOLIZIO",
"first_name": "SUE",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2009-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "1333",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AZ",
"license": "1333",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220501",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.