Individual provider Active NPI

Miranda Materi, OTD, OTR/L

  • Occupational Therapist
  • Scottsdale, AZ
National Provider Identifier
1407096134
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3849 Issued in AZ
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone
(480) 301-8000
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3849 AZ Primary

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000

Other identifiers 1

IdentifierTypeStateIssuer
615113MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000582 AZ Practitioner - Occupational Therapist in Private Practice 8325224470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand Therapy Partners LLCGroup PAC ID 0840513487, 7 clinicians

Practice addresses (Care Compare)

1450 S Dobson Rd
Suite 202
Mesa, AZ 85202-4756
Phone (480) 565-2276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3849AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therabee Inc Current Accepting new patients
Hand Therapy Partners, LLC Occupational Therapist CurrentSince Oct 1, 2014 Accepting new patients
Hand Therapy Partners LLC Occupational Therapist CurrentSince May 1, 2014 Accepting new patients
Gerald L Yospur MD PC PastSince Sep 9, 1999 Accepting new patients

Locations

9980 W Glendale Ave
Ste 110
Glendale, AZ 85307
Phone (623) 226-8804

430 N Dobson Rd
Ste 103
Mesa, AZ 85201
Phone (480) 565-2276

2111 W University Dr
Mesa, AZ 85201
Phone (480) 206-6240

1450 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (480) 454-6749

9130 W Thomas Rd
Ste A-105
Phoenix, AZ 85037
Phone (623) 226-8804

370 E Virginia Ave
Ste 100
Phoenix, AZ 85004
Phone (602) 200-8988

522 N Central Ave
Unit 679
Phoenix, AZ 85001

370 E Virginia Ave
Phoenix, AZ 85004
Phone (480) 206-6240

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1407096134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERI",
        "first_name": "MIRANDA",
        "name_prefix": "Ms.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "3849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615113",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.