Individual provider Active NPI

Korinna Cheyenne Alvarado Teran, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1346846235
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTH008150 Issued in AZ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119003366 AZ Practitioner - Occupational Therapist in Private Practice 0941735534 Reassigns benefits to 1 organization

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
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

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

LicenseStateTypeSpecialty
OTH008150AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Group of Tucson, LLC Occupational Therapist PastSince Dec 13, 2020 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.

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.

Verify at the official NPI Registry.