Individual provider Active NPI

Carley Warne

  • Occupational Therapist
  • Mesa, AZ
National Provider Identifier
1255900197
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6491 Issued in AZ
Practice address
4554 E Inverness Ave Ste C-1
Mesa, AZ 85206-4639
Phone
(480) 295-4925
NPI assigned
Jun 24, 2021
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6491 AZ Primary

Addresses

Primary practice location

4554 E Inverness Ave Ste C-1
Mesa, AZ 85206-4639

Mailing address

4554 E Inverness Ave Ste C-1
Mesa, AZ 85206-4639
Phone (480) 295-4925

Other names 1

  • Carley Rudloff Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6491AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Spotlight Pediatric Therapy PLLC PastSince Jun 27, 2021 Accepting new patients
Rise Early Intervention Services LLC PastSince Jun 27, 2021 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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1255900197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 E INVERNESS AVE STE C-1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064639",
            "telephone_number": "480-295-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 E INVERNESS AVE STE C-1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064639",
            "telephone_number": "480-295-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNE",
        "first_name": "CARLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEY",
            "last_name": "RUDLOFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.