Individual provider Active NPI

Jamie Baker Banfield, OTD

  • Pediatric Occupational Therapist
  • San Tan Valley, AZ
National Provider Identifier
1336774587
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTH-008867 Issued in AZ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OTH-008867AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Developmental Services, Inc. Developmental Therapist CurrentSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.