Individual provider Active NPI

Tate Shimon, MOT, OTR/L

  • Occupational Therapist
  • Scottsdale, AZ
National Provider Identifier
1174932768
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5805 Issued in AZ
Practice address
9376 E Bahia Dr
Scottsdale, AZ 85260-1532
Phone
(602) 819-4294
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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 5805 AZ Primary

Addresses

Primary practice location

9376 E Bahia Dr
Scottsdale, AZ 85260-1532

Mailing address

8410 N Central Ave Unit B
Phoenix, AZ 85020-3563
Phone (602) 819-4294

Other identifiers 1

IdentifierTypeStateIssuer
1174932768OtherAZNPI

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1174932768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 N CENTRAL AVE UNIT B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203563",
            "telephone_number": "602-819-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 E BAHIA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601532",
            "telephone_number": "602-819-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMON",
        "first_name": "TATE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174932768",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.