Active NPI
Rebecca Joanne Fairfax, OTR L
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1154516805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1331
- Practice address
- 8125 N 23Rd Ave
Suite 221
Phoenix, AZ 85021 - Phone
- (602) 443-0111
- NPI assigned
- Sep 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1331 | AZ | Primary |
Addresses
Primary practice location
8125 N 23Rd Ave
Suite 221
Phoenix, AZ 85021
Mailing address
15021 N Maple Drive
Fountain Hills, AZ 85268
Phone (480) 686-8801
Other names 1
- Mrs. Rebecca Joanne Taylor
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1331 | AZ | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agk Southwest, Inc. | Past | Accepting new patients | |
| Health Care@Home, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Tucson, AZ
- NPI 1053342717
-
- Home Health Agency
- Tempe, AZ
- NPI 1174559777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1154516805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15021 N MAPLE DRIVE",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "85268",
"telephone_number": "480-686-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8125 N 23RD AVE",
"address_2": "SUITE 221",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85021",
"telephone_number": "602-443-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRFAX",
"first_name": "REBECCA",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "1331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "TAYLOR",
"middle_name": "JOANNE",
"prefix": "MRS.",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Phoenix, AZ
- Annie Fair, M.S.W.
- Mary Fairbairn-Rodriguez
- Braiden Clark Fairbanks, PA-C
- Ronald T Faircloth, LPC, LISAC
- Fairclough Behavior Services LLC Az
- Fairmont Pharmacy, LLC
- Faith & Courage Psychiatry and Beyond LLC
- Faith and Comfort Home Care Services LLC
- Faith Behavioral Health Group, LLC
- Faith Care Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.