Colleen Clemons Reinboldt, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0324 Issued in AZ

Practice address

4510 N 37TH Ave
Phoenix, AZ 85019-3206

Phone

(602) 841-7421

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Maricopa

  • Local Education Agency (LEA)
  • Phoenix, AZ
  • NPI 1093938441
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306986740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 N 33RD PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184730",
            "telephone_number": "602-841-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 N 37TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850193206",
            "telephone_number": "602-841-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINBOLDT",
        "first_name": "COLLEEN",
        "middle_name": "CLEMONS",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "0324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "573693",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Reimer, OTR/L
• Kristyna Ann Reimers, OTR/L
• Karen B Rein, PT
• Carly Reina, MSN, APRN, PMHNP-C
• Susan Joyce Padilla Reina
• John R Reiner, P.T.A.
• Lisa Nicole Reinertson, PA-C
• Gretchen L Reinfeldt-Goodell, NP
• Claire Reinfrank, APRN-RNP
• Reinhard E. Rott, MD, Facs, LLC

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.