Individual provider Active NPI

Laura Anne Fickel, OTL/CHT

  • Hand Occupational Therapist
  • Flagstaff, AZ
National Provider Identifier
1366451585
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
3354 Issued in AZ
Practice address
1485 N Turquoise Dr
Suite 200
Flagstaff, AZ 86001-1398
Phone
(928) 774-6626
Fax
(928) 214-3277
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 3354 AZ Primary

Addresses

Primary practice location

1485 N Turquoise Dr
Suite 200
Flagstaff, AZ 86001-1398

Mailing address

8150 E Thunder Creek Rd
Flagstaff, AZ 86004-6246
Phone (928) 527-0622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050312000011 AZ Practitioner - Occupational Therapist in Private Practice 9133174139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Kansas City Medical College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flagstaff Center for Bone and Joint DisordersGroup PAC ID 3072411180, 28 clinicians

Practice addresses (Care Compare)

525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845
Phone (928) 773-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3354AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Jul 1, 2021 Accepting new patients
Flagstaff Center for Bone and Joint Disorders CurrentSince Mar 22, 2024 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1301 W University Ave
Flagstaff, AZ 86001
Phone (928) 556-8607

1301 W University Ave
Ste 2
Flagstaff, AZ 86001
Phone (928) 556-8607

1485 N Turquoise Dr
Ste 120
Flagstaff, AZ 86001
Phone (928) 774-6626

1485 N Turquoise Dr
Ste 220
Flagstaff, AZ 86001
Phone (928) 214-6626

2912 N West St
Flagstaff, AZ 86004
Phone (928) 214-7430

5200 E Cortland Blvd
Ste C1
Flagstaff, AZ 86004
Phone (928) 440-5094

525 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 773-2280

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

25101 N Lake Pleasant Pkwy
Ste B1340
Peoria, AZ 85383
Phone (602) 610-6866

2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550

20851 E Rittenhouse Rd
Ste E103
Queen Creek, AZ 85142
Phone (480) 677-2800

1972 E Baseline Rd
Ste 103
Tempe, AZ 85283
Phone (480) 730-0501

6200 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 730-0501

6380 E Grant Rd
Ste 100
Tucson, AZ 85715
Phone (520) 420-1150

Organizations & group practices 5

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366451585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 E THUNDER CREEK RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046246",
            "telephone_number": "928-527-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 N TURQUOISE DR",
            "address_2": "SUITE 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011398",
            "telephone_number": "928-774-6626",
            "fax_number": "928-214-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKEL",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "credential": "OTL/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "3354",
            "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 Jul 8, 2007; 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.