Active NPI
Caroline Zakrocki, COTA/L
- Occupational Therapy Assistant
- Mesa, AZ
National Provider Identifier
1457769416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5899
- 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
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5899 | AZ | MD | Chiropractor |
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.