Individual provider Active NPI

Kavita Parikh, OTR-L, ATP

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1316151905
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3485 Issued in AZ
Practice address
16036 N 11TH Ave Unit 1025
Phoenix, AZ 85023-8201
Phone
(480) 636-0589
Fax
(888) 351-6583
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3485 AZ Primary
Pediatric Occupational Therapist 225XP0200X 3485 AZ

Addresses

Primary practice location

16036 N 11TH Ave Unit 1025
Phoenix, AZ 85023-8201

Mailing address

16036 N 11TH Ave Unit 1025
Phoenix, AZ 85023-8201
Phone (480) 636-0589

Other identifiers 1

IdentifierTypeStateIssuer
942442MedicaidAZ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3485AZMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1316151905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16036 N 11TH AVE UNIT 1025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850238201",
            "telephone_number": "480-636-0589",
            "fax_number": "888-351-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16036 N 11TH AVE UNIT 1025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850238201",
            "telephone_number": "480-636-0589",
            "fax_number": "888-351-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "KAVITA",
        "credential": "OTR-L, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "3485",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "3485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "942442",
            "state": "AZ"
        }
    ],
    "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 Sep 18, 2008; 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.