NPIMap

Organization Active NPI

Verde Valley Occupational Therapy LLC

  • Occupational Therapist
  • Cottonwood, AZ
National Provider Identifier
1346526464
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2122 Issued in AZ
Legal business name
VERDE VALLEY OCCUPATIONAL THERAPY LLC
Practice address
897 Cove Pkwy Ste 101
Cottonwood, AZ 86326-6516
Phone
(928) 634-0488
Fax
(928) 634-0757
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Mrs. Lori J Coey-Ritter, OTR/LNPI 1720172182
Title
Sole Proprietor
Phone
(928) 634-0488

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 2122 AZ Primary

Addresses

Primary practice location

897 Cove Pkwy Ste 101
Cottonwood, AZ 86326-6516

Mailing address

897 Cove Pkwy Ste 101
Cottonwood, AZ 86326-6516
Phone (928) 634-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240402001370 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254779853 Receives reassigned benefits from 1 practitioner
Practice locations: Cottonwood, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1346526464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 COVE PKWY STE 101",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266516",
            "telephone_number": "928-634-0488",
            "fax_number": "928-634-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 COVE PKWY STE 101",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266516",
            "telephone_number": "928-634-0488",
            "fax_number": "928-634-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE VALLEY OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "COEY-RITTER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "928-634-0488",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "2122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.

Verify at the official NPI Registry.