Southwood Pediatric Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

225X00000X Issued in NE

Legal business name

SOUTHWOOD PEDIATRIC THERAPY

Practice address

44480 W Honeycutt Ave
Maricopa, AZ 85138-2903

Phone

(520) 582-0142

NPI assigned

Feb 21, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Ama Southwood-Evans

Title

Ceo

Phone

(520) 431-7918

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1154628584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42829 W WILD HORSE TRL",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388271",
            "telephone_number": "520-431-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44480 W HONEYCUTT AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382903",
            "telephone_number": "520-582-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWOOD PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "SOUTHWOOD-EVANS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "AMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-431-7918",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Interpreter",
            "state": "AZ",
            "license": "171R00000X",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "225X00000X",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "235Z00000X",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "261QP2000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Medler Sorenson, M.D., M.P.H
• Aly H Soro, PTA
• Sorrento Homes LLC
• Southwestern Pediatrics LLC
• Southwestern Pediatricspllc
• Dustin Jeremy Sowards, NMD
• Kerri Lynn Spaulding, RN
• Robert Sperry, RPH.
• Chaille Yvette Spicer
• Splendor Behavioral Residency LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.