Active NPI
Shirley a Auchincloss Otr PC
- Occupational Therapist
- Sierra Vista, AZ
National Provider Identifier
1245447523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SHIRLEY A AUCHINCLOSS OTR PC
- Doing business as
- Cochise Occupational Therapy
- Practice address
- 5528 Laguna Avenue
Sierra Vista, AZ 85650 - Phone
- (520) 803-9733
- Fax
- (520) 803-9420
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shirley Ann Auchincloss, OTR
- Title
- President Owner
- Phone
- (520) 803-9733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
5528 Laguna Avenue
Sierra Vista, AZ 85650
Mailing address
5528 Laguna Avenue
Sierra Vista, AZ 85650
Phone (520) 803-9733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMCCS 771049 | Medicaid | AZ |
Other names 1
- Cochise Occupational Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238630400000",
"number": "1245447523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5528 LAGUNA AVENUE",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "85650",
"telephone_number": "520-803-9733",
"fax_number": "520-803-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5528 LAGUNA AVENUE",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "85650",
"telephone_number": "520-803-9733",
"fax_number": "520-803-9420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRLEY A AUCHINCLOSS OTR PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2009-04-02",
"status": "A",
"authorized_official_last_name": "AUCHINCLOSS",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "520-803-9733",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AMCCS 771049",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cochise Occupational Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.