Active NPI
Amanda Staley, OT
- Occupational Therapist
- Chandler, AZ
National Provider Identifier
1356759757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5372
- Practice address
- 1616 W Germann Rd
Apt 2058
Chandler, AZ 85286-6998 - Phone
- (623) 815-4156
- NPI assigned
- Jul 29, 2014
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5372 | AZ | Primary |
Addresses
Primary practice location
1616 W Germann Rd
Apt 2058
Chandler, AZ 85286-6998
Mailing address
1616 W Germann Rd
Apt 2058
Chandler, AZ 85286-6998
Phone (623) 815-4156
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5372 | AZ | MD | Chiropractor |
| 22978 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1356759757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 W GERMANN RD",
"address_2": "APT 2058",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852866998",
"telephone_number": "623-815-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 W GERMANN RD",
"address_2": "APT 2058",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852866998",
"telephone_number": "623-815-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "AMANDA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "5372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.