Active NPI
Jamie Baker Banfield, OTD
- Pediatric Occupational Therapist
- San Tan Valley, AZ
National Provider Identifier
1336774587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTH-008867
- Practice address
- 287 E Hunt Hwy Ste 101
San Tan Valley, AZ 85143-5096 - Phone
- (602) 684-6622
- NPI assigned
- Mar 9, 2020
- Last updated
- Feb 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | OTH-008867 | AZ | Primary |
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
287 E Hunt Hwy Ste 101
San Tan Valley, AZ 85143-5096
Mailing address
287 E Hunt Hwy Ste 101
San Tan Valley, AZ 85143-5096
Other practice location 1
3941 E Baseline Rd Ste 101
Gilbert, AZ 85234-2750
Phone (480) 787-5387
Other practice location 2
176 Franklin St
Lynn, MA 01904-3230
Phone (781) 593-2727
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-008867 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Developmental Services, Inc. | Developmental Therapist | Current | Accepting new patients |
| Therapeeps, LLC | Occupational Therapist | Past | Accepting new patients |
Locations
176 Franklin St
Lynn, MA 01904
Phone (781) 293-2727
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.
-
- Developmental Therapist
- Beverly, MA
- NPI 1437996188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1336774587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 E HUNT HWY STE 101",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851435096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 E HUNT HWY STE 101",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851435096",
"telephone_number": "602-684-6622"
}
],
"practiceLocations": [
{
"address_1": "3941 E Baseline Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852342750",
"country_code": "US",
"telephone_number": "480-787-5387",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "176 Franklin St",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019043230",
"country_code": "US",
"telephone_number": "781-593-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANFIELD",
"first_name": "JAMIE",
"middle_name": "BAKER",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "OTH-008867",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.