Tanya Nez
Individual provider Active NPI Occupational Therapy Assistant · Tempe, AZ
NPI 1629447115 · NPPES record last updated Sep 15, 2015
Key facts
- NPI
- 1629447115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5882 (AZ)
- Practice address
- 1400 E Southern Ave
3110
Tempe, AZ 85282-5691 - Phone
- (602) 567-9881
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5882 | AZ | MD | Independent Medical Examiner Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5882 | AZ | Yes |
Addresses
Primary practice location
1400 E Southern Ave
3110
Tempe, AZ 85282-5691
Mailing address
1620 N 51St St
Phoenix, AZ 85008-4257
NPI Registry JSON
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1629447115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 N 51ST ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E SOUTHERN AVE",
"address_2": "3110",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825691",
"telephone_number": "602-567-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEZ",
"first_name": "TANYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "5882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
- Nextcare Arizona II JV LLC
- Nextcare Arizona LLC
- Nextcare Arizona LLC
- Nextcare Urgent Care
- Joanne Lynne Nez
- Alyssa Nguyen
- Annie Nguyen
- Kim Nguyen
- Minh Phuong Nguyen
- Oanh Nguyen
All providers in Tempe, AZ · Occupational Therapy Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.