Janis Louise Wright, OTR/L – Occupational Therapist

Key facts

NPI: 1265613475
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 2755 (AZ)
Practice address: Hwy 264 and US 191
Ganado Unified School District #20
Ganado, AZ 86505
Phone: (928) 755-1020
Fax: (928) 755-1022
NPI assigned: Nov 15, 2007
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	2755	AZ	Yes

Addresses

Primary practice location

Hwy 264 and US 191
Ganado Unified School District #20
Ganado, AZ 86505

Mailing address

1331 Loren Dr
Prescott, AZ 86305-2875
Phone (928) 541-7606

Other names

Janis Louise Powelson Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2007.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1265613475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 LOREN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052875",
            "telephone_number": "928-541-7606",
            "fax_number": "928-541-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 264 AND US 191",
            "address_2": "GANADO UNIFIED SCHOOL DISTRICT #20",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "86505",
            "telephone_number": "928-755-1020",
            "fax_number": "928-755-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JANIS",
        "middle_name": "LOUISE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "2755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIS",
            "last_name": "POWELSON",
            "middle_name": "LOUISE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ganado, AZ

All providers in Ganado, AZ · Occupational Therapist in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.