Active NPI
Laura L Harley, COTA
- Occupational Therapy Assistant
- Payson, AZ
National Provider Identifier
1598039380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5019
- Practice address
- 807 W Longhorn Rd
Payson, AZ 85541-4263 - Phone
- (928) 474-1120
- NPI assigned
- Feb 27, 2012
- Last updated
- Feb 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5019 | AZ | Primary |
Addresses
Primary practice location
807 W Longhorn Rd
Payson, AZ 85541-4263
Mailing address
PO Box 1009
Tonto Basin, AZ 85553-1009
Phone (928) 978-7118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1598039380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1009",
"city": "TONTO BASIN",
"state": "AZ",
"postal_code": "855531009",
"telephone_number": "928-978-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 W LONGHORN RD",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855414263",
"telephone_number": "928-474-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEY",
"first_name": "LAURA",
"middle_name": "L",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "5019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
- Green Leaf Anesthesia Consultants Inc
- Ergi O Gumusaneli, MD
- Nagendra Gupta, MD
- Donna Marjorie Hammer, MT
- Hanger Prosthetics & Orthotics West, Inc (Hanger Clinic)
- Daniehle Hatch, R.N.
- Heartcare Specialist & Healing Center
- Karin M Heaton
- Hellsgate Fire District (Rim Country Fire and Medical Service)
- Herring DDS PLLC (Doze PLLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.