Gym5

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3442 Issued in AZ

Legal business name

GYM5

Practice address

6106 E Windstone TRL
Cave Creek, AZ 85331-6058

Phone

(480) 907-4956

NPI assigned

Jul 12, 2015

Organization subpart

No

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

Authorized official

Name

Jacqueline Fox

Title

Owner

Phone

(480) 907-4956

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436659200000",
    "number": "1588048367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 E WINDSTONE TRL",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 E WINDSTONE TRL",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316058",
            "telephone_number": "480-907-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYM5",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-12",
        "last_updated": "2015-07-12",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-907-4956"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marni Green, DNP
• Jacqueline Michele Greenfield, M.S. CCC-SLP
• Arnold Greensher, M.D.
• Silvia Guerrero, M.D.
• Guiding Light Behavioral and Learning Advancements, LLC
• H2B2Az,LLC
• Nicole Hanna, NP
• Rebecca Harmon
• Brown Harris III, DDS
• Isabelle Lynette Harris

• Pediatric Occupational Therapist in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Pediatric Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2015; 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.