Individual provider Active NPI

Payton Trebilcock, OTR/L

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1285399402
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-008600 Issued in AZ
Practice address
1831 W Rose Garden LN Ste 4
Phoenix, AZ 85027-2725
Phone
(602) 808-9912
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 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 OTH-008600 AZ Primary

Addresses

Primary practice location

1831 W Rose Garden LN Ste 4
Phoenix, AZ 85027-2725

Mailing address

3021 N 39TH St Apt 10
Phoenix, AZ 85018-7123

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
OTH-008600AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Pediatric Therapy, LLC Occupational Therapist CurrentSince Feb 2, 2025 Accepting new patients

Locations

1831 W Rose Garden Ln
Ste 4
Phoenix, AZ 85027
Phone (602) 808-9912

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1285399402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 N 39TH ST APT 10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 W ROSE GARDEN LN STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272725",
            "telephone_number": "602-808-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREBILCOCK",
        "first_name": "PAYTON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008600",
            "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 Nov 2, 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.