Individual provider Active NPI

Lydia Lea Christesen, OTR, CHT

  • Hand Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1598764755
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
6118 Issued in AZ
Practice address
6916 W Robin LN
Glendale, AZ 85310-5908
Phone
(198) 998-0849
Fax
(928) 777-9975
NPI assigned
Jul 20, 2005
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 5201001462 MI
Hand Occupational Therapist 225XH1200X 6118 AZ Primary

Addresses

Primary practice location

6916 W Robin LN
Glendale, AZ 85310-5908

Mailing address

6916 W Robin LN
Glendale, AZ 85310-5908
Phone (198) 998-0849

Other identifiers 1

IdentifierTypeStateIssuer
172068MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529001824 AZ Practitioner - Occupational Therapist in Private Practice 0244271682 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

2940 E Banner Gateway Dr
Suite 425
Gilbert, AZ 85234-2177
Phone (480) 813-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Jun 26, 2018 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Jul 16, 2021 Accepting new patients
BHSM Rehabilitation LLC CurrentSince Jun 26, 2018 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Arizona Hand and Physical Rehab LLC Occupational Therapist CurrentSince Mar 1, 2015 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients
Back in Motion Rehabilitation-Saginaw, LLC Occupational Therapist Past Accepting new patients

Locations (25 of 52)

10750 W McDowell Rd
Ste B210
Avondale, AZ 85392
Phone (623) 826-8633

13055 W McDowell Rd
Ste G107
Avondale, AZ 85392
Phone (623) 243-0256

20770 W Market St
Ste 106
Buckeye, AZ 85396
Phone (623) 278-7520

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

2055 W Frye Rd
Ste 2
Chandler, AZ 85224
Phone (480) 821-9840

4015 S Arizona Ave
Ste C2
Chandler, AZ 85248
Phone (480) 426-8019

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

1301 W University Ave
Flagstaff, AZ 86001
Phone (928) 556-8607

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

3507 S Mercy Rd
Ste 105
Gilbert, AZ 85297
Phone (480) 926-0404

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

4344 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 277-0084

5605 W Eugie Ave
Ste 206
Glendale, AZ 85304
Phone (480) 210-6445

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

2225 W Southern Ave
Mesa, AZ 85202
Phone (480) 412-4101

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 285-4565

2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212
Phone (480) 326-3922

5151 E Broadway Rd
Ste 102
Mesa, AZ 85206
Phone (480) 396-9922

126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907

25101 N Lake Pleasant Pkwy
Ste B1340
Peoria, AZ 85383
Phone (602) 610-6866

9401 W Thunderbird Rd
Ste 190
Peoria, AZ 85381
Phone (623) 977-5451

Organizations & group practices 10

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1598764755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 W ROBIN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105908",
            "telephone_number": "198-998-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 W ROBIN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105908",
            "telephone_number": "198-998-0849",
            "fax_number": "928-777-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTESEN",
        "first_name": "LYDIA",
        "middle_name": "LEA",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001462",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "6118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172068",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.