Active NPI
Quenton McCallister
- Occupational Therapist
- Scottsdale, AZ
National Provider Identifier
1255777173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6034
- Practice address
- 1475 N Granite Reef Rd
Scottsdale, AZ 85257 - Phone
- (480) 990-1904
- NPI assigned
- May 18, 2013
- Last updated
- May 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6034 | AZ | Primary |
| Occupational Therapy Assistant | 224Z00000X | 4877 | AZ |
Addresses
Primary practice location
1475 N Granite Reef Rd
Scottsdale, AZ 85257
Mailing address
2902 W Sweetwater Ave Apt 3190
Phoenix, AZ 85029-6309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4877 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achievement Therapy Services | Current | Accepting new patients | |
| Theraplay4Kidz, LLC | Occupational Therapist | Current | Accepting new patients |
| Theracare PLLC | Occupational Therapist | Current | Accepting new patients |
| Heartland Therapy, Inc. | Past | Accepting new patients |
Locations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
Organizations & group practices 4
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.
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1265499701
-
- Occupational Therapist
- Peoria, AZ
- NPI 1962784249
-
- Home Health Agency
- Mesa, AZ
- NPI 1962552547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1255777173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 W SWEETWATER AVE APT 3190",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850296309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 N GRANITE REEF RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85257",
"telephone_number": "480-990-1904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLISTER",
"first_name": "QUENTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-18",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "6034",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "4877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.