Individual provider Active NPI

Caroline Zakrocki, COTA/L

  • Occupational Therapy Assistant
  • Mesa, AZ
National Provider Identifier
1457769416
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5899 Issued in AZ
Practice address
63 E Main St
Mesa, AZ 85201-7417
Phone
(480) 472-0000
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5899 AZ Primary

Addresses

Primary practice location

63 E Main St
Mesa, AZ 85201-7417

Mailing address

1155 E San Tan Dr
Gilbert, AZ 85296-3616
Phone (480) 980-2259

Other practice location 1

815 N Hayden Rd Unit B102
Scottsdale, AZ 85257-4402
Phone (480) 980-2259

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

LicenseStateTypeSpecialty
5899AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1457769416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 E SAN TAN DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963616",
            "telephone_number": "480-980-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017417",
            "telephone_number": "480-472-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 N Hayden Rd Unit B102",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852574402",
            "country_code": "US",
            "telephone_number": "480-980-2259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAKROCKI",
        "first_name": "CAROLINE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "5899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.