Individual provider Active NPI

Victoria T Workman, OTRL CHT

  • Hand Occupational Therapist
  • Prescott, AZ
National Provider Identifier
1477541738
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
3428 Issued in AZ
Practice address
3111 Clearwater Dr
Ste C
Prescott, AZ 86305-7186
Phone
(928) 776-4206
Fax
(928) 776-4206
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 3428 AZ Primary

Addresses

Primary practice location

3111 Clearwater Dr
Ste C
Prescott, AZ 86305-7186

Mailing address

3111 Clearwater Dr
Ste C
Prescott, AZ 86305-7186
Phone (928) 776-4206

Other identifiers 1

IdentifierTypeStateIssuer
957582MedicaidAZ

Other names 1

  • Victoria Tiongson Abeleda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921001198 AZ Practitioner - Occupational Therapist in Private Practice 2062446735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Hand and Physical Rehab LLCGroup PAC ID 6800971441, 3 clinicians

Practice addresses (Care Compare)

3111 Clearwater Dr
Suite C
Prescott, AZ 86305-7186
Phone (928) 777-9890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3428AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Hand and Physical Rehab LLC Occupational Therapist CurrentSince Nov 20, 2007 Accepting new patients
Arizona Hand and Physical Rehab LLC Hand Past Accepting new patients
Az Hand Center and Physical Rehab Past Accepting new patients

Locations

3111 Clearwater Dr
Ste C
Prescott, AZ 86305
Phone (928) 777-9890

3001 N Main St
Ste 2A
Prescott Valley, AZ 86314
Phone (928) 775-9434

9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1477541738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 CLEARWATER DR",
            "address_2": "STE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057186",
            "telephone_number": "928-776-4206",
            "fax_number": "928-776-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CLEARWATER DR",
            "address_2": "STE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057186",
            "telephone_number": "928-776-4206",
            "fax_number": "928-776-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "VICTORIA",
        "middle_name": "T",
        "credential": "OTRL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "3428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "957582",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "ABELEDA",
            "middle_name": "TIONGSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.