Organization Active NPI

Driving to Independence

  • Driving and Community Mobility Occupational Therapist
  • Tempe, AZ
National Provider Identifier
1336387349
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational TherapistTaxonomy code 225XR0403X
License
281 Issued in AZ
Legal business name
DRIVING TO INDEPENDENCE
Practice address
1414 W Broadway Rd
Suite 218
Tempe, AZ 85282-1133
Phone
(480) 449-3331
Fax
(480) 753-9428
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Jennifer Nordine, OTR/L, CDRSNPI 1275785099
Title
Owner
Phone
(480) 449-3331

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 281 AZ
Environmental Modification Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XE0001X 281 AZ
Ergonomics Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XE1200X 281 AZ
Driving and Community Mobility Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XR0403X 281 AZ Primary

Addresses

Primary practice location

1414 W Broadway Rd
Suite 218
Tempe, AZ 85282-1133

Mailing address

1414 W Broadway Rd
Suite 218
Tempe, AZ 85282-1133
Phone (480) 449-3331

National Provider Directory

National Provider Directory

Locations

1414 W Broadway Rd
Ste 218
Tempe, AZ 85282
Phone (480) 449-3331

Practitioners & affiliated clinicians

Practitioners 2

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": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1336387349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W BROADWAY RD",
            "address_2": "SUITE 218",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821133",
            "telephone_number": "480-449-3331",
            "fax_number": "480-753-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W BROADWAY RD",
            "address_2": "SUITE 218",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821133",
            "telephone_number": "480-449-3331",
            "fax_number": "480-753-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIVING TO INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "NORDINE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-449-3331",
        "authorized_official_credential": "OTR/L, CDRS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "281",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "AZ",
            "license": "281",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "AZ",
            "license": "281",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "AZ",
            "license": "281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.