Active NPI
Haley Vaughn Bodea, OTD, OTR/L
- Occupational Therapist
- Chandler, AZ
National Provider Identifier
1477219210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-008637
- Practice address
- 1823 E Queen Creek Rd # 121
Chandler, AZ 85286-2018 - Phone
- (480) 794-9984
- NPI assigned
- Nov 16, 2021
- 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 | OTH-008637 | AZ | Primary |
Addresses
Primary practice location
1823 E Queen Creek Rd # 121
Chandler, AZ 85286-2018
Mailing address
725 W Estrella Dr
Gilbert, AZ 85233-7627
Phone (480) 329-9192
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 |
|---|---|---|---|
| OTH-008637 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriving Therapies, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1124879127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1477219210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 W ESTRELLA DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852337627",
"telephone_number": "480-329-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 E QUEEN CREEK RD # 121",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852862018",
"telephone_number": "480-794-9984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODEA",
"first_name": "HALEY",
"middle_name": "VAUGHN",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-008637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.