Individual provider Active NPI

Janice Huey

  • Pediatric Occupational Therapist
  • Flagstaff, AZ
National Provider Identifier
1356620959
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4351 Issued in AZ
Practice address
125 E Elm Ave Ste 103
Flagstaff, AZ 86001-3258
Phone
(928) 779-1679
NPI assigned
Aug 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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 4351 AZ Primary

Addresses

Primary practice location

125 E Elm Ave Ste 103
Flagstaff, AZ 86001-3258

Mailing address

125 E Elm Ave Ste 103
Flagstaff, AZ 86001-3258
Phone (928) 779-1679

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4351AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northland-Rural Therapy Associates, LLC PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1356620959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E ELM AVE STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013258",
            "telephone_number": "928-779-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E ELM AVE STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013258",
            "telephone_number": "928-779-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEY",
        "first_name": "JANICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "4351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.