Individual provider Active NPI

Jessica Werbie, OTR/L

  • Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1548728165
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-009666 Issued in AZ
Practice address
16844 N 59TH Ave
Glendale, AZ 85306-1118
Phone
(480) 787-5387
Fax
(623) 209-8822
NPI assigned
Mar 4, 2019
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTH-009666 AZ Primary

Addresses

Primary practice location

16844 N 59TH Ave
Glendale, AZ 85306-1118

Mailing address

9150 W Indian School Rd Ste 130
Phoenix, AZ 85037-2388
Phone (480) 787-5387

Other identifiers 1

IdentifierTypeStateIssuer
165647MedicaidAZ

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

LicenseStateTypeSpecialty
OTH-009666AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Birth to Three & Beyond Pediatric Therapies, LLC Past Accepting new patients
Therapy Tree, PLLC PastSince Nov 24, 2024 Accepting new patients
The Therapy Tree D.B.a. Birth to Three & Beyond Pediatric Therapies Past Accepting new patients

Organizations & group practices 3

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1548728165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372388",
            "telephone_number": "480-787-5387",
            "fax_number": "623-232-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16844 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061118",
            "telephone_number": "480-787-5387",
            "fax_number": "623-209-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERBIE",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-009666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165647",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.