Organization Active NPI

Thera-Que

  • Developmentally Disabled Services Day Training Agency
  • Phoenix, AZ
National Provider Identifier
1356681795
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
544 Issued in AZ
Legal business name
THERA-QUE
Practice address
831 W Indianola Ave
Phoenix, AZ 85013-3338
Phone
(602) 430-2817
Fax
(602) 277-4799
NPI assigned
Feb 21, 2013
Last updated
Feb 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Teresa RayNPI 1689753469
Title
Occupational Therapist
Phone
(602) 430-2817

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
Developmentally Disabled Services Day Training Agency 251C00000X 544 AZ Primary

Addresses

Primary practice location

831 W Indianola Ave
Phoenix, AZ 85013-3338

Mailing address

PO Box 36296
Phoenix, AZ 85067-6296
Phone (602) 430-2817

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1356681795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36296",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850676296",
            "telephone_number": "602-430-2817",
            "fax_number": "602-277-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 W INDIANOLA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133338",
            "telephone_number": "602-430-2817",
            "fax_number": "602-277-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA-QUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "602-430-2817"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AZ",
            "license": "544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.