Active NPI
Sheila Mick, OTR/L
- Pediatric Occupational Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2796
- Practice address
- 4045 E Union Hills Dr Ste 110
Phoenix, AZ 85050 - Phone
- (602) 485-4444
- NPI assigned
- Mar 27, 2009
- Last updated
- Aug 19, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2796 | AZ | Primary |
Addresses
Primary practice location
4045 E Union Hills Dr Ste 110
Phoenix, AZ 85050
Mailing address
4045 E Union Hills Dr Ste 110
Phoenix, AZ 85050-3389
Phone (602) 485-4444
Other practice location 1
4536 W Joshua Blvd
Chandler, AZ 85226-2037
Phone (480) 227-5436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 612003 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Therapy Services, Inc | Occupational Therapist | Current | Accepting new patients |
| Sunrise Therapy Services, Inc | Occupational Therapist | Current | Accepting new patients |
Locations
4045 E Union Hills Dr
Ste 110
Phoenix, AZ 85050
Phone (602) 485-4444
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.
-
- Rehabilitation Practitioner
- Phoenix, AZ
- NPI 1033113501
Occupational Therapist
-
- Health Service Clinic/Center
- Phoenix, AZ
- NPI 1063277689
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534636800000",
"number": "1265674808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 E UNION HILLS DR STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503389",
"telephone_number": "602-485-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 E UNION HILLS DR STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85050",
"telephone_number": "602-485-4444"
}
],
"practiceLocations": [
{
"address_1": "4536 W Joshua Blvd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852262037",
"country_code": "US",
"telephone_number": "480-227-5436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICK",
"first_name": "SHEILA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2018-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "2796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "612003",
"state": "AZ"
}
],
"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 Aug 19, 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.