Active NPI
Crystal Hien Hanh Cao-Baker, OTR/L
- Occupational Therapist
- Fountain Hills, AZ
National Provider Identifier
1235459298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4820
- Practice address
- 17100 E Shea Blvd Ste 225
Fountain Hills, AZ 85268-6744 - Phone
- (480) 837-4565
- Fax
- (480) 836-1992
- NPI assigned
- Jun 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 113531 | TX | |
| Occupational Therapist | 225X00000X | 4820 | AZ | Primary |
Addresses
Primary practice location
17100 E Shea Blvd Ste 225
Fountain Hills, AZ 85268-6744
Mailing address
17100 E Shea Blvd Ste 225
Fountain Hills, AZ 85268-6744
Phone (480) 837-4565
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4820 | AZ | MD | Occupational Therapist |
| 113531 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306022400000",
"number": "1235459298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17100 E SHEA BLVD STE 225",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852686744",
"telephone_number": "480-837-4565",
"fax_number": "480-836-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 E SHEA BLVD STE 225",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852686744",
"telephone_number": "480-837-4565",
"fax_number": "480-836-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAO-BAKER",
"first_name": "CRYSTAL",
"middle_name": "HIEN HANH",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-01",
"last_updated": "2011-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113531",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "4820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.