Individual provider Active NPI

Isaura Vazquez Arreola, COTA

  • Occupational Therapy Assistant
  • El Mirage, AZ
National Provider Identifier
1538664677
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
6751 Issued in AZ
Practice address
11909 W Port Royale LN
El Mirage, AZ 85335-6950
Phone
(623) 329-1245
NPI assigned
Mar 29, 2018
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 6751 AZ Primary

Addresses

Primary practice location

11909 W Port Royale LN
El Mirage, AZ 85335-6950

Mailing address

11909 W Port Royale LN
El Mirage, AZ 85335-6950
Phone (623) 329-1245

Other identifiers 1

IdentifierTypeStateIssuer
6751MedicaidAZ

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

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1538664677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909 W PORT ROYALE LN",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853356950",
            "telephone_number": "623-329-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 W PORT ROYALE LN",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853356950",
            "telephone_number": "623-329-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ ARREOLA",
        "first_name": "ISAURA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "6751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6751",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Mirage, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.