Organization Active NPI

Embody Occupational Therapy, LLC

  • Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1245996560
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
EMBODY OCCUPATIONAL THERAPY, LLC
Practice address
4625 E Broadway Blvd Ste 200
Tucson, AZ 85711-3574
Phone
(520) 274-0235
NPI assigned
Nov 10, 2021
Last updated
Nov 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Dr. Heidi Ana Carpenter, OTDNPI 1255724977
Title
Owner, Occupational Therapist
Phone
(520) 274-0235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

4625 E Broadway Blvd Ste 200
Tucson, AZ 85711-3574

Mailing address

4625 E Broadway Blvd Ste 200
Tucson, AZ 85711-3574
Phone (520) 274-0235

National Provider Directory

National Provider Directory

Locations

4625 E Broadway Blvd
Ste 200
Tucson, AZ 85711
Phone (310) 998-7540

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": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1245996560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 E BROADWAY BLVD STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113574",
            "telephone_number": "520-274-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 E BROADWAY BLVD STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113574",
            "telephone_number": "520-274-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODY OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANA",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "520-274-0235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.