Organization Active NPI

Arizona Low Vision Occupational Therapy PLC

  • Low Vision Occupational Therapist
  • Mesa, AZ
National Provider Identifier
1235922287
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
Legal business name
ARIZONA LOW VISION OCCUPATIONAL THERAPY PLC
Practice address
1830 S Alma School Rd Ste 131
Mesa, AZ 85210-3088
Phone
(480) 924-8755
Fax
(480) 854-1864
NPI assigned
May 23, 2025
Last updated
May 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda Mayer
Title
Credentialing Specialist
Phone
(480) 924-8755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XL0004X Primary

Addresses

Primary practice location

1830 S Alma School Rd Ste 131
Mesa, AZ 85210-3088

Mailing address

1830 S Alma School Rd Ste 131
Mesa, AZ 85210-3088
Phone (480) 924-8755

Other practice location 1

1234 E Northern Ave
Phoenix, AZ 85020-4274
Phone (623) 583-2800

Other identifiers 1

IdentifierTypeStateIssuer
1992062640OtherOCCUPATIONAL THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114002732 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082105226 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1235922287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 131",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103088",
            "telephone_number": "480-924-8755",
            "fax_number": "480-854-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 131",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103088",
            "telephone_number": "480-924-8755",
            "fax_number": "480-854-1864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 E Northern Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850204274",
            "country_code": "US",
            "telephone_number": "623-583-2800",
            "fax_number": "480-854-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA LOW VISION OCCUPATIONAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "480-924-8755"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "1992062640",
            "state": null
        }
    ],
    "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 26, 2025; 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.

Verify at the official NPI Registry.