Active NPI
Alycia Marie Dotseth, MSOT
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1285919159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4745
- Practice address
- 4600 E Shea Blvd
Suite 101
Phoenix, AZ 85028-6024 - Phone
- (602) 619-6061
- NPI assigned
- Oct 11, 2011
- 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 | 4745 | AZ | Primary |
Addresses
Primary practice location
4600 E Shea Blvd
Suite 101
Phoenix, AZ 85028-6024
Mailing address
5615 W Acoma Dr
Apt 76
Glendale, AZ 85306-4200
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 |
|---|---|---|---|
| 4745 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1285919159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 W ACOMA DR",
"address_2": "APT 76",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 E SHEA BLVD",
"address_2": "SUITE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286024",
"telephone_number": "602-619-6061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSETH",
"first_name": "ALYCIA",
"middle_name": "MARIE",
"credential": "MSOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "4745",
"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 Oct 11, 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.