Busisiwe B Stansberry, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

5025 E Washington St Ste 212
Phoenix, AZ 85034-7439

Phone

(602) 773-5775

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Busisiwe B Malinki-Odusote Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Desert Valley Pediatric Therapy

  • Specialist
  • Phoenix, AZ
  • NPI 1528209830

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1124621529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 E WASHINGTON ST STE 212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347439",
            "telephone_number": "602-773-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 E WASHINGTON ST STE 212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347439",
            "telephone_number": "602-773-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBERRY",
        "first_name": "BUSISIWE",
        "middle_name": "B",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUSISIWE",
            "last_name": "MALINKI-ODUSOTE",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Charles Stanley, MD
• Mariana Stanly
• Anthony J Stannard, DPT
• William Thomas Stano III, MD
• Stansberry Family Dentistry PLLC
• Troy Stansberry, DDS
• Brittany Marie Stansbury, DO
• Peggy Susan Stansbury
• Emily Elizabeth Stansfield, OTD
• Anitra Stansil

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.