Individual provider Active NPI

Jennette L Capozello, MOT/L

  • Occupational Therapist
  • Scottsdale, AZ
National Provider Identifier
1336563451
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5698 Issued in AZ
Practice address
33016 N 60TH St
Scottsdale, AZ 85266-5245
Phone
(480) 575-2011
NPI assigned
Feb 10, 2014
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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 5698 AZ Primary

Addresses

Primary practice location

33016 N 60TH St
Scottsdale, AZ 85266-5245

Mailing address

33016 N 60TH St
Scottsdale, AZ 85266-5245
Phone (480) 575-2011

Other identifiers 1

IdentifierTypeStateIssuer
576960OtherAZCAVE CREEK SCHOOL DISTRICT ACCESS PROVIDER NUMBER 576960

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
5698AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cave Creek Unified Schools Past Accepting new patients

Organizations & group practices 1

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": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1336563451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33016 N 60TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852665245",
            "telephone_number": "480-575-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33016 N 60TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852665245",
            "telephone_number": "480-575-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOZELLO",
        "first_name": "JENNETTE",
        "middle_name": "L",
        "credential": "MOT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAVE CREEK SCHOOL DISTRICT ACCESS PROVIDER NUMBER 576960",
            "identifier": "576960",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.