Individual provider Active NPI

Amber Dawn Nivens, OTD, OTR/L

  • Occupational Therapist
  • Surprise, AZ
National Provider Identifier
1326515149
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-007531 Issued in AZ
Practice address
14239 W Bell Rd Ste 110
Surprise, AZ 85374-2470
Phone
(623) 544-1631
Fax
(623) 975-6144
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTH-007531 AZ Primary

Addresses

Primary practice location

14239 W Bell Rd Ste 110
Surprise, AZ 85374-2470

Mailing address

15879 W Christy Dr
Surprise, AZ 85379-4668
Phone (623) 692-8074

Other practice location 1

15879 W Christy Dr
Surprise, AZ 85379-4668
Phone (623) 692-8074

Other names 1

  • Amber Dawn Thornton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321002562 AZ Practitioner - Occupational Therapist in Private Practice 8628318037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DHT Hand Therapy Limited Partnership Occupational Therapist Current Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist CurrentSince Jan 28, 2019 Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist CurrentSince Jan 28, 2019 Accepting new patients

Locations

2195 W Chandler Blvd
Ste 180
Chandler, AZ 85224
Phone (480) 963-9339

1489 S Higley Rd
Ste 103
Gilbert, AZ 85296
Phone (480) 750-1974

5757 W Thunderbird Rd
Ste E465
Glendale, AZ 85306
Phone (602) 393-4263

790 N Estrella Pkwy
Ste C
Goodyear, AZ 85338
Phone (602) 765-4348

7165 E University Dr
Ste 143
Mesa, AZ 85207
Phone (480) 218-9973

1860 N 95th Ln
Ste 105
Phoenix, AZ 85037
Phone (623) 907-0828

20330 N Cave Creek Rd
Ste A150
Phoenix, AZ 85024
Phone (602) 765-4338

3104 E Indian School Rd
Ste 200A
Phoenix, AZ 85016
Phone (602) 955-2302

300 W Clarendon Ave
Ste 285
Phoenix, AZ 85013
Phone (602) 277-3686

14239 W Bell Rd
Ste 110
Surprise, AZ 85374
Phone (623) 544-1631

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1326515149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15879 W CHRISTY DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794668",
            "telephone_number": "623-692-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14239 W BELL RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742470",
            "telephone_number": "623-544-1631",
            "fax_number": "623-975-6144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15879 W Christy Dr",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853794668",
            "country_code": "US",
            "telephone_number": "623-692-8074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIVENS",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "THORNTON",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.