Individual provider Active NPI

Tamera Lynn Ford, OTR

  • Hand Occupational Therapist
  • Prescott, AZ
National Provider Identifier
1538253240
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OTH-008259 Issued in AZ
Practice address
1003 Division St Ste 6B
Prescott, AZ 86301-1657
Phone
(928) 275-2201
Fax
(928) 275-1814
NPI assigned
Oct 3, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT5511 CA
Hand Occupational Therapist 225XH1200X OTH-008259 AZ Primary

Addresses

Primary practice location

1003 Division St Ste 6B
Prescott, AZ 86301-1657

Mailing address

1003 Division St Ste 6B
Prescott, AZ 86301-1657
Phone (928) 275-2201

Other names 1

  • Tamera Lynn Baker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201124000619 AZ Practitioner - Occupational Therapist in Private Practice 3375579998 Reassigns benefits to 2 organizations
Practice locations: Prescott, AZ

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restored Hope Hand Therapy LLCGroup PAC ID 8921480146, 3 clinicians

Practice addresses (Care Compare)

1003 Division St
Suite 6B
Prescott, AZ 86301-1657
Phone (928) 275-2201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5511CAMDOccupational Therapy Assistant
OT5511CAMDHand Occupational Therapist
3704TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Hand and Physical Rehab LLC Occupational Therapist CurrentSince Nov 4, 2020 Accepting new patients
Restored Hope Hand Therapy, LLC Occupational Therapist CurrentSince Nov 16, 2021 Accepting new patients

Locations

1003 Division St
Ste 6B
Prescott, AZ 86301
Phone (928) 275-2201

1042 Willow Creek Rd
Ste A101415
Prescott, AZ 86301

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1538253240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 DIVISION ST STE 6B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011657",
            "telephone_number": "928-275-2201",
            "fax_number": "928-275-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 DIVISION ST STE 6B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011657",
            "telephone_number": "928-275-2201",
            "fax_number": "928-275-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "TAMERA",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT5511",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "OTH-008259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMERA",
            "last_name": "BAKER",
            "middle_name": "LYNN",
            "credential": "OTR",
            "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 Feb 10, 2022; 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.