Individual provider Active NPI

Kelsey Wogan, OTR

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1558722181
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
006558 Issued in AZ
Practice address
3033 N 44TH St Ste 100
Phoenix, AZ 85018-7227
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Mar 9, 2016
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 006558 AZ Primary
Hand Occupational Therapist 225XH1200X 006558 AZ

Addresses

Primary practice location

3033 N 44TH St Ste 100
Phoenix, AZ 85018-7227

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Other names 1

  • Kelsey Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160614001014 AZ Practitioner - Occupational Therapist in Private Practice 5991096430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

40601 N Gantzel Rd
Suite 103
San Tan Valley, AZ 85140-7036
Phone (480) 964-2908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006558AZMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DHT Hand Therapy Limited Partnership Occupational Therapist CurrentSince Apr 11, 2016 Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist CurrentSince Apr 11, 2016 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Aug 27, 2021 Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist Current Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Aug 27, 2021 Accepting new patients
Desert Foot & Ankle P C Past Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist Past Accepting new patients

Locations

2195 W Chandler Blvd
Ste 180
Chandler, AZ 85224
Phone (480) 963-9339

1489 S Higley Rd
Ste 103
Gilbert, AZ 85296
Phone (480) 750-1974

5757 W Thunderbird Rd
Ste E465
Glendale, AZ 85306
Phone (602) 393-4263

790 N Estrella Pkwy
Ste C
Goodyear, AZ 85338
Phone (602) 765-4348

2111 W University Dr
Ste A
Mesa, AZ 85201
Phone (480) 750-1974

7165 E University Dr
Ste 143
Mesa, AZ 85207
Phone (480) 218-9973

15830 N 35th Ave
Ste 2
Phoenix, AZ 85053
Phone (602) 507-6989

1860 N 95th Ln
Ste 105
Phoenix, AZ 85037
Phone (623) 907-0828

20330 N Cave Creek Rd
Ste A150
Phoenix, AZ 85024
Phone (602) 765-4338

300 W Clarendon Ave
Ste 285
Phoenix, AZ 85013
Phone (602) 277-3686

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

3033 N 44th St
Ste 160
Phoenix, AZ 85018

3104 E Indian School Rd
Ste 200A
Phoenix, AZ 85016
Phone (602) 955-2302

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

10250 N 92nd St
Ste 112
Scottsdale, AZ 85258
Phone (480) 661-7779

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

8405 N Pima Center Pkwy
Ste 101
Scottsdale, AZ 85258
Phone (602) 493-9361

14239 W Bell Rd
Ste 110
Surprise, AZ 85374
Phone (623) 544-1631

Organizations & group practices 8

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1558722181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N 44TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187227",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGAN",
        "first_name": "KELSEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "006558",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "006558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "WRIGHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.