Active NPI
Melissa Gardner, OT
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1366701260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5018
- Practice address
- 4720 E Cotton Gin Loop
Ste 140
Phoenix, AZ 85040-4823 - Phone
- (602) 567-9881
- NPI assigned
- May 11, 2012
- 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 | 5018 | AZ | Primary |
Addresses
Primary practice location
4720 E Cotton Gin Loop
Ste 140
Phoenix, AZ 85040-4823
Mailing address
4720 E Cotton Gin Loop
Ste 140
Phoenix, AZ 85040-4823
Phone (602) 567-9881
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supplemental Healthcare | Past | 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.
-
- Rehabilitation Hospital Unit
- Phoenix, AZ
- NPI 1508004219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1366701260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 E COTTON GIN LOOP",
"address_2": "STE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850404823",
"telephone_number": "602-567-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 E COTTON GIN LOOP",
"address_2": "STE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850404823",
"telephone_number": "602-567-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "MELISSA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "5018",
"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 May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.