Individual provider Active NPI

Cassidy Turpin, COTA

  • Occupational Therapy Assistant
  • Flagstaff, AZ
National Provider Identifier
1174370803
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA-047260 Issued in AZ
Practice address
12115 N Peaks Pkwy
Flagstaff, AZ 86004-5589
Phone
(623) 606-0883
Fax
(928) 233-6053
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA-047260 AZ Primary

Addresses

Primary practice location

12115 N Peaks Pkwy
Flagstaff, AZ 86004-5589

Mailing address

12115 N Peaks Pkwy
Flagstaff, AZ 86004-5589

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

LicenseStateTypeSpecialty
OTA-047260AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stable Foundations Therapy PLLC CurrentSince May 7, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1174370803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 N PEAKS PKWY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 N PEAKS PKWY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045589",
            "telephone_number": "623-606-0883",
            "fax_number": "928-233-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURPIN",
        "first_name": "CASSIDY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-047260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.