Active NPI
Jahi Gains, OTR/L
- Occupational Therapist
- Glendale, AZ
National Provider Identifier
1205500139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008564
- Practice address
- 4650 W Sweetwater Ave
Glendale, AZ 85304-1505 - Phone
- (602) 347-2865
- NPI assigned
- Aug 4, 2021
- Last updated
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008564 | AZ | Primary |
Addresses
Primary practice location
4650 W Sweetwater Ave
Glendale, AZ 85304-1505
Mailing address
4650 W Sweetwater Ave
Glendale, AZ 85304-1505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008564 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Pediatric Healthcare Therapy Services Az, Inc. | Occupational Therapist | Current | Accepting new patients |
| Pioneer Pet, LLC | Past | Accepting new patients |
Locations
1930 E Southern Ave
Tempe, AZ 85282
Phone (480) 456-0719
60 E Rio Salado Pkwy
Ste 900
Tempe, AZ 85281
Phone (480) 456-0719
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Care Options For Kids
- Physical Therapist
- Tempe, AZ
- NPI 1669533105
Occupational Therapist
-
- Diagnostic Radiology Physician
- Tempe, AZ
- NPI 1265401996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1205500139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 W SWEETWATER AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SWEETWATER AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041505",
"telephone_number": "602-347-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINS",
"first_name": "JAHI",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "008564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.