Active NPI
Paul Darrell Cagle
- Occupational Therapy Assistant
- Phoenix, AZ
National Provider Identifier
1639567142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4970
- Practice address
- 910 E Marlette Ave
Apt 28S
Phoenix, AZ 85014-1512 - Phone
- (480) 430-9843
- NPI assigned
- Jan 6, 2015
- 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 Therapy Assistant | 224Z00000X | 4970 | AZ | Primary |
Addresses
Primary practice location
910 E Marlette Ave
Apt 28S
Phoenix, AZ 85014-1512
Mailing address
940 E Marlette Ave
Apt 28S
Phoenix, AZ 85014
Phone (480) 430-9843
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 |
|---|---|---|---|
| 4970 | AZ | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1639567142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 E MARLETTE AVE",
"address_2": "APT 28S",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85014",
"telephone_number": "480-430-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E MARLETTE AVE",
"address_2": "APT 28S",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850141512",
"telephone_number": "480-430-9843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAGLE",
"first_name": "PAUL",
"middle_name": "DARRELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "4970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.