Organization Active NPI

Madison School District 38

  • Student in an Organized Health Care Education/Training Program
  • Phoenix, AZ
National Provider Identifier
1528105251
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
1979 Issued in AZ
Legal business name
MADISON SCHOOL DISTRICT 38
Practice address
5601 N 16TH St
Phoenix, AZ 85016-2903
Phone
(602) 664-7931
Fax
(602) 664-7998
NPI assigned
Jan 31, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Mrs. Maryjo Alberta Todd, O.T.R.L
Title
Occupational Therapist
Phone
(602) 664-7236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 1979 AZ Primary

Addresses

Primary practice location

5601 N 16TH St
Phoenix, AZ 85016-2903

Mailing address

5601 N 16TH St
Phoenix, AZ 85016-2903
Phone (602) 664-7931

Other identifiers 1

IdentifierTypeStateIssuer
557697700MedicaidAZ

National Provider Directory

National Provider Directory

Locations

5601 N 16th St
Phoenix, AZ 85016
Phone (602) 664-7900

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1528105251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162903",
            "telephone_number": "602-664-7931",
            "fax_number": "602-664-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162903",
            "telephone_number": "602-664-7931",
            "fax_number": "602-664-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON SCHOOL DISTRICT 38",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "MARYJO",
        "authorized_official_middle_name": "ALBERTA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "602-664-7236",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.T.R.L"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "1979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557697700",
            "state": "AZ"
        }
    ],
    "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 Aug 13, 2008; 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.