Active NPI
Patricia Walker, OTR/L
- Pediatric Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1417074378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3858
- Practice address
- 3540 W Cholla St
Phoenix, AZ 85028-2099 - Phone
- (480) 892-9777
- Fax
- (480) 635-0222
- NPI assigned
- Mar 24, 2007
- Last updated
- Jan 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3858 | AZ | |
| Pediatric Occupational Therapist | 225XP0200X | 3858 | AZ | Primary |
Addresses
Primary practice location
3540 W Cholla St
Phoenix, AZ 85028-2099
Mailing address
1500 W Marlboro Dr
Chandler, AZ 85224-1836
Phone (480) 861-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178131 | Medicaid | AZ |
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 |
|---|---|---|---|
| 3858 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1417074378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 W MARLBORO DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852241836",
"telephone_number": "480-861-1414",
"fax_number": "480-247-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 W CHOLLA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850282099",
"telephone_number": "480-892-9777",
"fax_number": "480-635-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "PATRICIA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-24",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3858",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "3858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178131",
"state": "AZ"
}
],
"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 Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.