Individual provider Active NPI

Shaylee Ryan Edwards

  • Occupational Therapy Assistant
  • Phoenix, AZ
National Provider Identifier
1326713850
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
046988 Issued in AZ
Practice address
10631 S 51St St
Phoenix, AZ 85044-5225
Phone
(480) 398-4280
NPI assigned
Aug 16, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 046988 AZ Primary

Addresses

Primary practice location

10631 S 51St St
Phoenix, AZ 85044-5225

Mailing address

4588 W Vervain Ave
Queen Creek, AZ 85142-1385
Phone (480) 274-3217

Other practice location 1

854 E Williams Field Rd Ste 105
Gilbert, AZ 85295-0703
Phone (480) 398-4280

Other practice location 2

2150 S Country Club Dr Ste 20
Mesa, AZ 85210-6879
Phone (480) 398-4280

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

State licenses

LicenseStateTypeSpecialty
046988AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piller Child Development Past Accepting new patients
Piller Child Development LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1326713850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4588 W VERVAIN AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421385",
            "telephone_number": "480-274-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 S 51ST ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445225",
            "telephone_number": "480-398-4280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "854 E Williams Field Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852950703",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 S Country Club Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106879",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SHAYLEE",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "046988",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 16, 2021; 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.