Aimee Rae Ann Klock

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-00928 Issued in AZ

Practice address

5025 E Washington St Ste 212
Phoenix, AZ 85034-7439

Phone

(602) 773-5775

NPI assigned

Aug 11, 2023

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vitality Psychological Services LLC

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1265904288

  Occupational Therapist

  NPD
• Arizona Foot & Ankle Care, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1548440936
  NPD (past)
• Vitality Psychological and Therapy Services PLLC

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1942025465
  NPD (past)

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1538842893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W MEDLOCK DR APT 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132368",
            "telephone_number": "602-446-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 E WASHINGTON ST STE 212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347439",
            "telephone_number": "602-773-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCK",
        "first_name": "AIMEE",
        "middle_name": "RAE ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-00928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reyma Klinker, PHARMD
• Ivana Quan Klippvik, DO
• Danielle Holly Klise, PHARMD
• Melita Kljajic
• Kayla Jonette Kloc, PHARMD
• Andrea Jeanne Klock, FNP-C
• Lesley Jorgensen Klock, FNP-C
• Dawn Marie Klodzinski, COTA
• Jake Ashton Kloeber, MD, PHD
• Ian Kloehn, DO

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.