Miranda J Riesgo, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-008868 Issued in AZ

Practice address

1000 E Narramore Ave
Buckeye, AZ 85326-2632

Phone

(520) 429-1953

NPI assigned

Jul 22, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1558096495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 N 30TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E NARRAMORE AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262632",
            "telephone_number": "520-429-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4525 S College Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852826905",
            "country_code": "US",
            "telephone_number": "520-429-1953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850083847",
            "country_code": "US",
            "telephone_number": "520-429-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIESGO",
        "first_name": "MIRANDA",
        "middle_name": "J",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raphael Ricard, D.D.S.
• Richard P. Jacoby, DPM, PC
• Cindy Richardson
• Debbie Richman, LPN
• Richard Albert Ridder, RPH
• Minerva Flores Rios
• Joanne Rittenhouse
• Patricia Kay Roberts
• Isaiah Robinson
• Alisha Robles, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.