Organization Active NPI

Roots Pediatric Therapy, LLC

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1306487350
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ROOTS PEDIATRIC THERAPY, LLC
Practice address
7340 E Legacy Blvd Unit C2006
Scottsdale, AZ 85255-6388
Phone
(701) 471-9786
NPI assigned
Oct 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Hana Eichele, MOT, OTR/LNPI 1407334329
Title
Founder, Owner, OT
Phone
(701) 471-9786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

7340 E Legacy Blvd Unit C2006
Scottsdale, AZ 85255-6388

Mailing address

7340 E Legacy Blvd Unit C2006
Scottsdale, AZ 85255-6388
Phone (701) 471-9786

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1306487350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 E LEGACY BLVD UNIT C2006",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556388",
            "telephone_number": "701-471-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 E LEGACY BLVD UNIT C2006",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556388",
            "telephone_number": "701-471-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "EICHELE",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "FOUNDER, OWNER, OT",
        "authorized_official_telephone_number": "701-471-9786",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.