Individual provider Active NPI

Deeann Louise Lett Neal, OTR L

  • Occupational Therapist
  • Prescott, AZ
National Provider Identifier
1164580577
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3229 Issued in AZ
Practice address
3105 Clearwater Dr Ste B
Prescott, AZ 86305-7166
Phone
(928) 776-4349
Fax
(928) 776-4369
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3229 AZ Primary

Addresses

Primary practice location

3105 Clearwater Dr Ste B
Prescott, AZ 86305-7166

Mailing address

4743 S Deer Trail
Prescott, AZ 86303
Phone (928) 445-3793

Other identifiers 1

IdentifierTypeStateIssuer
848400OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620003434 AZ Practitioner - Occupational Therapist in Private Practice 3577075019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3229AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Early Intervention Inc CurrentSince Jun 2, 2025 Accepting new patients
Merrill Enterprises, Inc Occupational Therapist Past Accepting new patients

Locations

3160 Stillwater Dr
Prescott, AZ 86305
Phone (928) 776-4349

3105 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 776-4349

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1164580577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 S DEER TRAIL",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86303",
            "telephone_number": "928-445-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CLEARWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057166",
            "telephone_number": "928-776-4349",
            "fax_number": "928-776-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETT NEAL",
        "first_name": "DEEANN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "3229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "848400",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.