Active NPI
Kristy Face, COTA/L
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1407244346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5868
- Practice address
- 4602 North 24TH Street
Phoenix, AZ 85016 - Phone
- (602) 954-9178
- NPI assigned
- Dec 30, 2014
- 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 | 5868 | AZ | Primary |
Addresses
Primary practice location
4602 North 24TH Street
Phoenix, AZ 85016
Mailing address
1057 N Parkside Dr Apt D103
Tempe, AZ 85281-3395
Phone (951) 206-9544
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 |
|---|---|---|---|
| 5868 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1407244346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 N PARKSIDE DR APT D103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852813395",
"telephone_number": "951-206-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 NORTH 24TH STREET",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "602-954-9178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACE",
"first_name": "KRISTY",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "5868",
"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 Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.