Active NPI
Ellyn Celia Starikoff
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1265670145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0038P
- Practice address
- 1016 N 32ND St
Building D
Phoenix, AZ 85008-5107 - Phone
- (602) 914-1332
- Fax
- (602) 914-3312
- NPI assigned
- Jan 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0038P | AZ | Primary |
Addresses
Primary practice location
1016 N 32ND St
Building D
Phoenix, AZ 85008-5107
Mailing address
1016 N 32ND St
Building D
Phoenix, AZ 85008-5107
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0038P | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1265670145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 N 32ND ST",
"address_2": "BUILDING D",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850085107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 N 32ND ST",
"address_2": "BUILDING D",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850085107",
"telephone_number": "602-914-1332",
"fax_number": "602-914-3312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARIKOFF",
"first_name": "ELLYN",
"middle_name": "CELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "0038P",
"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 Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.