Active NPI
Halli Schmittenberg
- Occupational Therapist
- Anthem, AZ
National Provider Identifier
1508414830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 42211 N 41St Dr
Anthem, AZ 85086-3810 - Phone
- (602) 808-9912
- NPI assigned
- Aug 29, 2019
- 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 | Primary |
Addresses
Primary practice location
42211 N 41St Dr
Anthem, AZ 85086-3810
Mailing address
10235 N 31St St Unit 9
Phoenix, AZ 85028-3829
Phone (480) 323-5633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221110002014 | AZ | Practitioner - Occupational Therapist in Private Practice | 5395112957 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona University | Current | Accepting new patients | |
| Az BD of Regents for on Behalf of Northern Az University | Current | Accepting new patients |
Locations
208 E Pne Knl Dr
Flagstaff, AZ 86011
Phone (928) 523-5122
912 Riordan Rd
Flagstaff, AZ 86011
Phone (928) 523-1695
912 Riordan Rd
Bldg 27 A
Flagstaff, AZ 86011
Phone (928) 523-6773
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.
-
- Primary Care Clinic/Center
- Flagstaff, AZ
- NPI 1891727863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1508414830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10235 N 31ST ST UNIT 9",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283829",
"telephone_number": "480-323-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42211 N 41ST DR",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850863810",
"telephone_number": "602-808-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITTENBERG",
"first_name": "HALLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.