Individual provider Active NPI

Elizabeth Shipp McQueary, OTR/L

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1568702728
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4336 Issued in AZ
Practice address
1320 N 10TH St
Suite B
Phoenix, AZ 85006-2710
Phone
(602) 839-7285
Fax
(602) 839-7272
NPI assigned
Feb 26, 2013
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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 4336 AZ Primary

Addresses

Primary practice location

1320 N 10TH St
Suite B
Phoenix, AZ 85006-2710

Mailing address

1320 N 10TH St
Suite B
Phoenix, AZ 85006-2710
Phone (602) 839-7374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130510000602 AZ Practitioner - Occupational Therapist in Private Practice 0345487344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1320 N 10TH St
Suite B
Phoenix, AZ 85006-2710
Phone (602) 839-7285

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4336AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Jun 1, 2016 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Apr 1, 2013 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Apr 1, 2013 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jun 1, 2016 Accepting new patients

Locations

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

1012 E Willetta St
Phoenix, AZ 85006
Phone (602) 239-6040

1012 E Willetta St
Fl 3
Phoenix, AZ 85006
Phone (602) 239-2361

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1320 N 10th St
Ste B
Phoenix, AZ 85006
Phone (602) 631-3181

4200 E Camelback Rd
Ste 104
Phoenix, AZ 85018
Phone (602) 229-2110

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

7400 N Dobson Rd
Ste 201
Scottsdale, AZ 85256
Phone (480) 733-7400

Organizations & group practices 5

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": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1568702728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N 10TH ST",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062710",
            "telephone_number": "602-839-7374",
            "fax_number": "602-839-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N 10TH ST",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062710",
            "telephone_number": "602-839-7285",
            "fax_number": "602-839-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEARY",
        "first_name": "ELIZABETH",
        "middle_name": "SHIPP",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "4336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 3, 2014; 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.