Active NPI
Theresa Schmotzer, B.S. OT
- Contractor
- Goodyear, AZ
National Provider Identifier
1295069342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 4289
- Practice address
- 2653 N 143Rd Dr
Goodyear, AZ 85395-1459 - Phone
- (808) 497-1292
- Fax
- (623) 594-0469
- NPI assigned
- Sep 22, 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 4289 | AZ | Primary |
Addresses
Primary practice location
2653 N 143Rd Dr
Goodyear, AZ 85395-1459
Mailing address
2653 N 143Rd Dr
Goodyear, AZ 85395-1459
Phone (808) 497-1292
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1295069342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2653 N 143RD DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951459",
"telephone_number": "808-497-1292",
"fax_number": "623-594-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2653 N 143RD DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951459",
"telephone_number": "808-497-1292",
"fax_number": "623-594-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMOTZER",
"first_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "B.S. OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "4289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.