Active NPI
Kathleen Anne Street, OTR
- Occupational Therapist
- Sun City West, AZ
National Provider Identifier
1538770086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-003355
- Practice address
- 14505 W Granite Valley Dr
Sun City West, AZ 85375-5795 - Phone
- (623) 975-8100
- Fax
- (623) 975-8222
- NPI assigned
- Aug 10, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTH-003355 | AZ | Primary |
Addresses
Primary practice location
14505 W Granite Valley Dr
Sun City West, AZ 85375-5795
Mailing address
31038 W Roosevelt St
Buckeye, AZ 85396-5374
Phone (856) 558-2880
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-003355 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1538770086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31038 W ROOSEVELT ST",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853965374",
"telephone_number": "856-558-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14505 W GRANITE VALLEY DR",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755795",
"telephone_number": "623-975-8100",
"fax_number": "623-975-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-003355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City West, AZ
- Stephen J Durant MD PLC
- Zachary Stevens, D.O.
- Kimberly Y Steward, PT, DPT, OCS
- Beth M Stoddard, MA, LPC, LISAC
- Lyudmyla Storch, NP
- Sun Chiropractic PLLC
- Sun City Dental Associates LLC (Gold Star Dental Station)
- Sun City West Chiropractic, PLLC
- Sun City West Dialysis Center LLC (Westbrook Dialysis)
- Sun City West Eye Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.