Organization Active NPI

Agape Therapy, LLC

  • Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1275856387
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
AGAPE THERAPY, LLC
Practice address
6520 W Happy Valley Rd
B-109
Glendale, AZ 85310-2615
Phone
(623) 561-1300
Fax
(623) 561-0036
NPI assigned
Mar 3, 2010
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Nancy Alesky
Title
Manager
Phone
(623) 561-1300

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3353 AZ
Physical Therapist 225100000X 6233 AZ
Sports Physical Therapist 2251S0007X 6233 AZ
Occupational Therapist 225X00000X NU Primary
Hand Occupational Therapist 225XH1200X NU

Addresses

Primary practice location

6520 W Happy Valley Rd
B-109
Glendale, AZ 85310-2615

Mailing address

6520 W Happy Valley Rd
B-109
Glendale, AZ 85310-2615
Phone (623) 561-1300

National Provider Directory

National Provider Directory

Locations

6520 W Happy Valley Rd
Ste B109
Glendale, AZ 85310
Phone (623) 561-1300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1275856387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 W HAPPY VALLEY RD",
            "address_2": "B-109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102615",
            "telephone_number": "623-561-1300",
            "fax_number": "623-561-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 W HAPPY VALLEY RD",
            "address_2": "B-109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102615",
            "telephone_number": "623-561-1300",
            "fax_number": "623-561-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "ALESKY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-561-1300"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "3353",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6233",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "6233",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.