Active NPI
Korinna Cheyenne Alvarado Teran, OTD, OTR/L
- Pediatric Occupational Therapist
- Tucson, AZ
National Provider Identifier
1346846235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTH008150
- Practice address
- 2260 N Rosemont Blvd Ste 100
Tucson, AZ 85712-2137 - Phone
- (520) 232-2021
- Fax
- (520) 232-2553
- NPI assigned
- Dec 7, 2020
- Last updated
- Nov 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTH008150 | AZ | Primary |
Addresses
Primary practice location
2260 N Rosemont Blvd Ste 100
Tucson, AZ 85712-2137
Mailing address
2260 N Rosemont Blvd Ste 100
Tucson, AZ 85712-2137
Phone (520) 232-2021
Other names 1
- Dr. Korinna Cheyenne Alvarado
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9000 E San Victor Dr
Scottsdale, AZ 85258-5051
Phone (623) 299-7784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH008150 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Group of Tucson, LLC | Occupational Therapist | Past | Accepting new patients |
| Arizona Community Physician PC | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Multi-Specialty Clinic/Center
- Scottsdale, AZ
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- Tucson, AZ
- NPI 1922141902
-
dba Odyssey Autism ABA Therapy
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1639322134
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1346846235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 N ROSEMONT BLVD STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122137",
"telephone_number": "520-232-2021",
"fax_number": "520-232-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 N ROSEMONT BLVD STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122137",
"telephone_number": "520-232-2021",
"fax_number": "520-232-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO TERAN",
"first_name": "KORINNA",
"middle_name": "CHEYENNE",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "OTH008150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KORINNA",
"last_name": "ALVARADO",
"middle_name": "CHEYENNE",
"prefix": "DR.",
"credential": "OTD, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.