Individual provider Active NPI

Jennifer Stephanie McCauley, COTA/L

  • Occupational Therapy Assistant
  • Phoenix, AZ
National Provider Identifier
1477714301
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA-047020 Issued in AZ
Practice address
10631 S 51St St Ste 1
Phoenix, AZ 85044-5225
Phone
(480) 398-4280
Fax
(480) 398-4281
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00024812 WA
Occupational Therapy Assistant 224Z00000X OTA-047020 AZ Primary

Addresses

Primary practice location

10631 S 51St St Ste 1
Phoenix, AZ 85044-5225

Mailing address

PO Box 50218
Phoenix, AZ 85076-0218
Phone (480) 398-4280

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
OTA-047020AZMDOccupational Therapy Assistant
MA00024812WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Dell Therapeutic Massage Past Accepting new patients
Piller Child Development LLC PastSince Jan 17, 2022 Accepting new patients

Organizations & group practices 2

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1477714301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760218",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 S 51ST ST STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445225",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "JENNIFER",
        "middle_name": "STEPHANIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024812",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-047020",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 5, 2022; 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.