Active NPI
Elissa Paul
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1154233328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-010508
- Practice address
- 42015 N Venture Dr
Phoenix, AZ 85086-3193 - Phone
- (888) 654-1948
- Fax
- (800) 880-4022
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | OTH-010508 | AZ | Primary |
Addresses
Primary practice location
42015 N Venture Dr
Phoenix, AZ 85086-3193
Mailing address
3866 W Calle Lejos
Glendale, AZ 85310-4151
Phone (602) 315-2694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1154233328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3866 W CALLE LEJOS",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853104151",
"telephone_number": "602-315-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42015 N VENTURE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850863193",
"telephone_number": "888-654-1948",
"fax_number": "800-880-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "ELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-010508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.