Individual provider Active NPI

Nicole E Papuzza, OTR/L

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1639666183
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119008513 Issued in VA
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

Updated by the provider on Apr 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
18249CAMDAcupuncturist
7293AZMDOccupational Therapist
118810TXMDOccupational Therapist
0119008513VAMDOccupational 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.

Verify at the official NPI Registry.