Active NPI
Nicole E Papuzza, OTR/L
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1639666183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119008513
- Practice address
- 9150 W Indian School Rd Ste 105
Phoenix, AZ 85037-2385 - Phone
- (623) 500-2409
- NPI assigned
- Apr 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 118810 | TX | |
| Occupational Therapist | 225X00000X | 18249 | CA | |
| Occupational Therapist | 225X00000X | 7293 | AZ | |
| Occupational Therapist | 225X00000X | 0119008513 | VA | Primary |
Addresses
Primary practice location
9150 W Indian School Rd Ste 105
Phoenix, AZ 85037-2385
Mailing address
25256 McIntyre SQ
Chantilly, VA 20152-3967
Phone (518) 894-3344
Other practice location 1
175 Mannis Rd
Queensbury, NY 12804-1365
Phone (518) 894-3344
Other practice location 2
12191 Clipper Dr
Lake Ridge, VA 22192-2237
Phone (703) 496-3400
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 |
|---|---|---|---|
| 18249 | CA | MD | Acupuncturist |
| 7293 | AZ | MD | Occupational Therapist |
| 118810 | TX | MD | Occupational Therapist |
| 0119008513 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1639666183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25256 MCINTYRE SQ",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201523967",
"telephone_number": "518-894-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 W INDIAN SCHOOL RD STE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850372385",
"telephone_number": "623-500-2409"
}
],
"practiceLocations": [
{
"address_1": "175 Mannis Rd",
"address_purpose": "LOCATION",
"city": "Queensbury",
"state": "NY",
"postal_code": "128041365",
"country_code": "US",
"telephone_number": "518-894-3344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12191 Clipper Dr",
"address_purpose": "LOCATION",
"city": "Lake Ridge",
"state": "VA",
"postal_code": "221922237",
"country_code": "US",
"telephone_number": "703-496-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPUZZA",
"first_name": "NICOLE",
"middle_name": "E",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118810",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18249",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "7293",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119008513",
"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 Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.