Active NPI
John Jones
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1609536465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 6611 E Mayo Blvd Unit 3136
Phoenix, AZ 85054-4523 - Phone
- (520) 442-8935
- NPI assigned
- Dec 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225X00000X | Primary |
Addresses
Primary practice location
6611 E Mayo Blvd Unit 3136
Phoenix, AZ 85054-4523
Mailing address
6611 E Mayo Blvd Unit 3136
Phoenix, AZ 85054-4523
Phone (520) 442-8935
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 2468 |
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": "1640044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1609536465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 E MAYO BLVD UNIT 3136",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544523",
"telephone_number": "520-442-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 E MAYO BLVD UNIT 3136",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544523",
"telephone_number": "520-442-8935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-21",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "2468",
"affiliation": "N",
"address_1": "6611 E Mayo Blvd Unit 3136",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850544523",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.