Individual provider Active NPI

Carie Lynne Valles, COTA/L

  • Occupational Therapy Assistant
  • Mesa, AZ
National Provider Identifier
1225527328
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
7387 Issued in AZ
Practice address
2150 S Country Club Dr Ste 20
Mesa, AZ 85210-6879
Phone
(480) 398-4280
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 7387 AZ Primary

Addresses

Primary practice location

2150 S Country Club Dr Ste 20
Mesa, AZ 85210-6879

Mailing address

1025 N Country Club Dr
Mesa, AZ 85201-3302
Phone (480) 510-1099

Other practice location 1

10631 S 51st St Ste 8
Phoenix, AZ 85044-5225
Phone (480) 398-4280

Other practice location 2

3011 S Lindsay Rd Ste 103
Gilbert, AZ 85295-4333
Phone (480) 398-4280

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
7387AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piller Child Development Past Accepting new patients
Cholla Medical Group, Inc PastSince Dec 15, 2006 Accepting new patients
Piller Child Development LLC PastSince Nov 1, 2017 Accepting new patients

Organizations & group practices 3

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1225527328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013302",
            "telephone_number": "480-510-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S COUNTRY CLUB DR STE 20",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106879",
            "telephone_number": "480-398-4280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10631 S 51st St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850445225",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 S Lindsay Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852954333",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLES",
        "first_name": "CARIE",
        "middle_name": "LYNNE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "7387",
            "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 May 21, 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.