Active NPI
Sheila Marie Preston, COTA/L
- Occupational Therapy Assistant
- Kingman, AZ
National Provider Identifier
1629715966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-047069
- Practice address
- 3855 Sunshine Dr
Kingman, AZ 86409-3427 - Phone
- (928) 716-9330
- Fax
- (928) 496-2083
- NPI assigned
- May 18, 2022
- 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 | OTA-047069 | AZ | Primary |
Addresses
Primary practice location
3855 Sunshine Dr
Kingman, AZ 86409-3427
Mailing address
4563 N So Hi Blvd
Golden Valley, AZ 86413-9666
Phone (714) 831-7090
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-047069 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1629715966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4563 N SO HI BLVD",
"city": "GOLDEN VALLEY",
"state": "AZ",
"postal_code": "864139666",
"telephone_number": "714-831-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 SUNSHINE DR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093427",
"telephone_number": "928-716-9330",
"fax_number": "928-496-2083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "SHEILA",
"middle_name": "MARIE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "OTA-047069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.