Active NPI
Katherine Elizabeth Deloach
- Rehabilitation Hospital
- Phoenix, AZ
National Provider Identifier
1366166134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- OT-008763
- Practice address
- 775 E Willetta St
Phoenix, AZ 85006-2723 - Phone
- (480) 581-3900
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | OT-008763 | AZ | Primary |
Addresses
Primary practice location
775 E Willetta St
Phoenix, AZ 85006-2723
Mailing address
2595 S Comanche Dr
Chandler, AZ 85286-4351
Phone (678) 457-1418
Other practice location 1
8125 N Hayden Rd
Scottsdale, AZ 85258-2463
Phone (480) 882-4327
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-008763 | AZ | MD | Rehabilitation Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1366166134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 S COMANCHE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852864351",
"telephone_number": "678-457-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 E WILLETTA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062723",
"telephone_number": "480-581-3900"
}
],
"practiceLocations": [
{
"address_1": "8125 N Hayden Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852582463",
"country_code": "US",
"telephone_number": "480-882-4327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELOACH",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "AZ",
"license": "OT-008763",
"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 Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.