Active NPI
Courtney Dawn Wright, OTR/L
- Pediatric Occupational Therapist
- Goodyear, AZ
National Provider Identifier
1538767751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTH-007782
- Practice address
- 13851 W la Mar Blvd Ste D
Goodyear, AZ 85338-1389 - Phone
- (623) 399-6159
- NPI assigned
- Oct 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTH-007782 | AZ | Primary |
Addresses
Primary practice location
13851 W la Mar Blvd Ste D
Goodyear, AZ 85338-1389
Mailing address
13851 W la Mar Blvd Ste D
Goodyear, AZ 85338-1389
Phone (623) 399-6159
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-007782 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Pediatric Therapy, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Goodyear, AZ
- NPI 1356681076
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1538767751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13851 W LA MAR BLVD STE D",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381389",
"telephone_number": "623-399-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13851 W LA MAR BLVD STE D",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381389",
"telephone_number": "623-399-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "COURTNEY",
"middle_name": "DAWN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "OTH-007782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.