Micah Caudle, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5674 Issued in AZ

Practice address

1223 Willow Creed Rd
Prescott, AZ 86301-1427

Phone

(928) 777-9950

Fax

(928) 777-9975

NPI assigned

Feb 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Granite Orthopaedics PLLCGroup PAC ID 6305025669, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Granite Orthopaedics, PLLC

  • Orthopaedic Surgery Physician
  • Prescott, AZ
  • NPI 1831408384
  Medicare reassignment Care Compare group NPD
• Arizona Hand and Physical Rehab LLC

  • Hand Occupational Therapist
  • Prescott, AZ
  • NPI 1659549194
  Medicare reassignment NPD
• Granite Orthopaedics, PLLC

  • Specialist
  • Prescott Valley, AZ
  • NPI 1942608351
  NPD

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1366866295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011427",
            "telephone_number": "928-777-9950",
            "fax_number": "928-777-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 WILLOW CREED RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011427",
            "telephone_number": "928-777-9950",
            "fax_number": "928-777-9975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3773 Baker Ln Ste 2",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895095488",
            "country_code": "US",
            "telephone_number": "775-853-7513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUDLE",
        "first_name": "MICAH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-12",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5674",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NV",
            "license": "14-0450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083794",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra L Cassidy, LCSW
• Raul A. Castillo, M.D.
• Catherine Young PLLC (Kidabilities)
• Catholic Charities Community Services
• Catholic Charities Community Services, Inc
• Hannah Cavaliere
• Maria Cazares, LCSW
• CCR Otc LLC
• Kalila Michol Ceccarelli, CPM, LM
• Cedars Cardiovascular Care, P.L.L.C.

• Occupational Therapist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.