Marisa Azi Eiko Inada, OTD, OTR, OTLL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTLL-000059 Issued in AZ

Practice address

3961 E Guadalupe Rd Ste 1
Gilbert, AZ 85234-3266

Phone

(480) 699-4845

Fax

(480) 699-5085

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Neurologic Rehabilitation

  • Physical Therapy Clinic/Center
  • Chandler, AZ
  • NPI 1922482017
  NPD
• Advanced Neurologic Rehabilitation

  • Rehabilitation Clinic/Center
  • Gilbert, AZ
  • NPI 1518688746
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1245919273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 E GUADALUPE RD STE 1",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343266",
            "telephone_number": "480-699-4845",
            "fax_number": "480-699-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 E GUADALUPE RD STE 1",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343266",
            "telephone_number": "480-699-4845",
            "fax_number": "480-699-5085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 N Arizona Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852257122",
            "country_code": "US",
            "telephone_number": "480-699-4845",
            "fax_number": "480-699-5085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INADA",
        "first_name": "MARISA",
        "middle_name": "AZI EIKO",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR, OTLL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTLL-000059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucky Igbinoba
• Benjamin Ernest Ihms, D.O.
• Hope Ijaola, MD
• Miroslav Ilieff
• Hina Imran, FNP-C
• Inclusive Consulting Services, LLC
• Incredible Kids Therapy PLLC
• Independent by Design LLC
• Independent by Design, PLLC
• Daniel Anthony Indilicato, PA

• Occupational Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.