Individual provider Active NPI

Kaleigh Marie Roeder, OTR

  • Occupational Therapist
  • Mesa, AZ
National Provider Identifier
1194543801
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
009972 Issued in AZ
Practice address
1910 S Stapley Dr Ste 119
Mesa, AZ 85204-6675
Phone
(623) 263-3966
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 009972 AZ Primary

Addresses

Primary practice location

1910 S Stapley Dr Ste 119
Mesa, AZ 85204-6675

Mailing address

4700 N 16TH St Apt 151
Phoenix, AZ 85016-4656

Other practice location 1

1313 E Osborn Rd # B240
Phoenix, AZ 85014-5678
Phone (480) 787-5387

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
009972AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Tree, PLLC PastSince Oct 1, 2024 Accepting new patients
Soar Health, Inc. Occupational Therapist PastSince Oct 12, 2025 Accepting new patients

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": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1194543801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N 16TH ST APT 151",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 119",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046675",
            "telephone_number": "623-263-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 E Osborn Rd # B240",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850145678",
            "country_code": "US",
            "telephone_number": "480-787-5387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "KALEIGH",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "009972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.