West River Therapy LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WEST RIVER THERAPY LLC

Practice address

17147 W Molly LN
Surprise, AZ 85387-2153

Phone

(605) 295-2782

NPI assigned

Dec 13, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Matthew A Fisher, COTA/LNPI 1427436856

Title

Occupational Therapy Assistat

Phone

(605) 295-2782

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Fisher, OTA

  • Occupational Therapy Assistant
  • Surprise, AZ
  • NPI 1427436856
  NPD Authorized official

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1487422994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17147 W MOLLY LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853872153",
            "telephone_number": "605-295-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17147 W MOLLY LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853872153",
            "telephone_number": "605-295-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RIVER THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTAT",
        "authorized_official_telephone_number": "605-295-2782",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Welch
• Rebecca Diane Welker, MS,CCC-SP
• Jeffrey G Wellman, DDS
• John J Wells, PHARM.D.
• Susan Elizabeth Welter, RD
• West Valley Dry Eye
• West Valley Medical LLC
• West Valley Pharmacy LLC
• West Valley Smile Co
• West Valley Urgent Care

• Home Health Agency in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.