Individual provider Active NPI

Emil Methipara

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1578055851
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056-012497 Issued in IL
Practice address
240 W Osborn Rd Unit 3005
Phoenix, AZ 85013-3955
Phone
(602) 888-4909
Fax
(602) 603-5880
NPI assigned
Jun 4, 2018
Last updated
May 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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 056-012497 IL Primary

Addresses

Primary practice location

240 W Osborn Rd Unit 3005
Phoenix, AZ 85013-3955

Mailing address

240 W Osborn Rd Unit 3005
Phoenix, AZ 85013-3955
Phone (602) 888-4909

Other practice location 1

900 Rand Rd Ste 110
Des Plaines, IL 60016-2359
Phone (847) 954-7646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180731003739 IL Practitioner - Occupational Therapist in Private Practice 6608124169
I20201229000720 AZ Practitioner - Occupational Therapist in Private Practice 6608124169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056-012497ILMDOccupational Therapist

Organizations & group practices 1

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1578055851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W OSBORN RD UNIT 3005",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133955",
            "telephone_number": "602-888-4909",
            "fax_number": "602-603-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W OSBORN RD UNIT 3005",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133955",
            "telephone_number": "602-888-4909",
            "fax_number": "602-603-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Rand Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600162359",
            "country_code": "US",
            "telephone_number": "847-954-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METHIPARA",
        "first_name": "EMIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-012497",
            "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 May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.