Shirley A. Auchincloss, OTR OTRL
Individual provider Active NPI Occupational Therapist · Sierra Vista, AZ
NPI 1154401917 · NPPES record last updated Feb 5, 2008
Key facts
- NPI
- 1154401917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0022 (AZ)
- Practice address
- 5528 S Laguna Ave
Sierra Vista, AZ 85650-9770 - Phone
- (520) 803-9733
- Fax
- (520) 803-9420
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0022 | AZ | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0022 | AZ | Yes |
Addresses
Primary practice location
5528 S Laguna Ave
Sierra Vista, AZ 85650-9770
Mailing address
5528 S Laguna Ave
Sierra Vista, AZ 85650-9770
Phone (520) 803-9733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 771049 | Medicaid | AZ |
Other providers in Sierra Vista, AZ
- Anna Lynn Arnett
- Ashlee Arnett
- Nancy Arrowsmith
- Allison Joy Atherton
- Frances Atkinson
- Hayley Ann Auer
- Melissa Jeanne Auvine
- Cori Lee Averaino
- Ricardo A Aviles
- Alan Ayoub
All providers in Sierra Vista, AZ · Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.