Active NPI
Essie F Patterson, OTRL CHT
- Hand Occupational Therapist
- Prescott Valley, AZ
National Provider Identifier
1164410429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 0802
- Practice address
- 3033 N Windsong Dr
Ste 205
Prescott Valley, AZ 86314-2290 - Phone
- (928) 775-4499
- Fax
- (928) 115-1546
- NPI assigned
- Oct 11, 2005
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 0802 | AZ | Primary |
Addresses
Primary practice location
3033 N Windsong Dr
Ste 205
Prescott Valley, AZ 86314-2290
Mailing address
690 N Cofco Center CT
Ste 260
Phoenix, AZ 85008-6462
Phone (602) 279-6905
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z113265 | Other | AZ | MEDICARE GROUP |
| Z113264 | Other | AZ | MEDICARE GROUP |
| 486622 | Medicaid | AZ |
Other names 1
- Essie Faith Mah
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1164410429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 N COFCO CENTER CT",
"address_2": "STE 260",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086462",
"telephone_number": "602-279-6905",
"fax_number": "888-445-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 N WINDSONG DR",
"address_2": "STE 205",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142290",
"telephone_number": "928-775-4499",
"fax_number": "928-115-1546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ESSIE",
"middle_name": "F",
"credential": "OTRL CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-11",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AZ",
"license": "0802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "Z113265",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "Z113264",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "486622",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ESSIE",
"last_name": "MAH",
"middle_name": "FAITH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.