Individual provider Active NPI

Essie F Patterson, OTRL CHT

  • Hand Occupational Therapist
  • Prescott Valley, AZ
National Provider Identifier
1164410429
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0802 Issued in AZ
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

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Z113265OtherAZMEDICARE GROUP
Z113264OtherAZMEDICARE GROUP
486622MedicaidAZ

Other names 1

  • Essie Faith Mah Former name

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.

Verify at the official NPI Registry.