Individual provider Active NPI

Carrie Fancher, OT

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1255470902
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3435 Issued in AZ
Practice address
300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474
Phone
(602) 279-6905
Fax
(602) 279-6934
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Occupational Therapist 225XE1200X 3435 AZ
Hand Occupational Therapist 225XH1200X 3435 AZ
Pediatric Occupational Therapist 225XP0200X 3435 AZ
Occupational Therapist 225X00000X 3435 AZ Primary

Addresses

Primary practice location

300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474

Mailing address

6032 E Voltaire Ave
Scottsdale, AZ 85254-3849
Phone (602) 750-8125

Other practice location 1

2402 W Old Paint Trl
Phoenix, AZ 85086-6608
Phone (602) 750-8125

Other practice location 2

3104 E Indian School Rd Ste 200
Phoenix, AZ 85016-6853
Phone (602) 955-2302

Other practice location 3

20330 N Cave Creek Rd Ste A150
Phoenix, AZ 85024-4465
Phone (602) 765-4338

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3435AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Phoenix Physical Therapy, Inc. Past Accepting new patients
KC's Physical Therapy LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1255470902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 E VOLTAIRE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543849",
            "telephone_number": "602-750-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133474",
            "telephone_number": "602-279-6905",
            "fax_number": "602-279-6934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 W Old Paint Trl",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850866608",
            "country_code": "US",
            "telephone_number": "602-750-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3104 E Indian School Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850166853",
            "country_code": "US",
            "telephone_number": "602-955-2302",
            "fax_number": "602-955-2691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20330 N Cave Creek Rd Ste A150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850244465",
            "country_code": "US",
            "telephone_number": "602-765-4338",
            "fax_number": "602-765-4761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANCHER",
        "first_name": "CARRIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "AZ",
            "license": "3435",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "3435",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "3435",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "3435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.