Jeanette Bustamante

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2150 S Country Club Dr Ste 20
Mesa, AZ 85210-6879

Phone

(480) 398-4281

Fax

(480) 398-4281

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rehab Specialists Outpatient, LLC

  • Clinic/Center
  • Milwaukie, OR
  • NPI 1407523657

  AZ, Occupational Therapist

  Medicare reassignment NPD
• Rehab Specialists Outpatient, LLC

  • Clinic/Center
  • Canby, OR
  • NPI 1437019015

  Occupational Therapist

  NPD
• NK Speech Therapy and Behavior Support PLLC

  • Hearing and Speech Clinic/Center
  • Phoenix, AZ
  • NPI 1104561471

  Occupational Therapist

  NPD (past)
• Piller Child Development

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1396297099
  NPD (past)
• Piller Child Development LLC

  • Pediatric Occupational Therapist
  • Phoenix, AZ
  • NPI 1497087621
  NPD (past)

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1134883259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S COUNTRY CLUB DR STE 20",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106879",
            "telephone_number": "480-398-4281",
            "fax_number": "480-398-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "JEANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeanette.bustamante@pillerchilddevelopment.com",
            "affiliation": "N",
            "address_1": "2150 S Country Club Dr Ste 20",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852106879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Buscemi, LPC
• Jessica M Buselmeier
• Temple Chole Bushie
• Valentine Mukahirwa Busogi
• Makenna Busse
• Rodeleine M. Salvatus Bustamante, COTA
• Brett Allen Butler, D.C.
• Felice MNL Butler, ATC
• Grace Elizabeth Butler
• Jenna Brea Butler

• All providers in Mesa, AZ
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.