Jodi Rae Hageman, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

4714 W Topeka Dr
Glendale, AZ 85308-4849

Phone

(623) 203-6790

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1255793063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 W TOPEKA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084849",
            "telephone_number": "623-203-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 W TOPEKA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084849",
            "telephone_number": "623-203-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMAN",
        "first_name": "JODI",
        "middle_name": "RAE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas G. Habiger, MD
• Habiitation and Independant Living Inc
• Jessica L Hafer, MA, LAC
• Hafez Azadeh MD PLLC
• Ahmed Hag
• Brett Hager, DPT
• Jennifer Truong Hagg, PHARMD
• Joseph Darrel Haggard, D.C.
• Walter Darrel Haggard, D.C.
• Amanda Marie Haglund, LPN

• Occupational Therapy Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.