Active NPI
Julea Smalenberg
- Occupational Therapist
- Yuma, AZ
National Provider Identifier
1336574805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 314029
- Practice address
- 11522 E 26TH LN
Yuma, AZ 85367-4938 - Phone
- (928) 246-5965
- NPI assigned
- Sep 3, 2013
- Last updated
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 314029 | AZ | Primary |
Addresses
Primary practice location
11522 E 26TH LN
Yuma, AZ 85367-4938
Mailing address
11522 E 26TH LN
Yuma, AZ 85367-4938
Phone (928) 246-5965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 314029 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
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": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1336574805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11522 E 26TH LN",
"city": "YUMA",
"state": "AZ",
"postal_code": "853674938",
"telephone_number": "928-246-5965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11522 E 26TH LN",
"city": "YUMA",
"state": "AZ",
"postal_code": "853674938",
"telephone_number": "928-246-5965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALENBERG",
"first_name": "JULEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "314029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.