Active NPI
Timothy Ammon, OTR
- Occupational Therapist
- Peoria, AZ
National Provider Identifier
1649924119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 12740 N Plaza del Rio Blvd
Peoria, AZ 85381-8100 - Phone
- (480) 581-3600
- NPI assigned
- Feb 3, 2022
- Last updated
- Feb 3, 2022
- Sex
- Male
- 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 Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
12740 N Plaza del Rio Blvd
Peoria, AZ 85381-8100
Mailing address
12740 N Plaza del Rio Blvd
Peoria, AZ 85381-8100
Phone (480) 581-3600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | noidea | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1649924119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12740 N PLAZA DEL RIO BLVD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853818100",
"telephone_number": "480-581-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12740 N PLAZA DEL RIO BLVD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853818100",
"telephone_number": "480-581-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMMON",
"first_name": "TIMOTHY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "noidea",
"affiliation": "N",
"endpointDescription": "I have no idea what endpoints are required for my job",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12740 N Plaza Del Rio Blvd",
"city": "Peoria",
"state": "AZ",
"country_code": "US",
"postal_code": "853818100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Peoria, AZ
- American Retirement Corporation (Freedom Plaza Care Center)
- Amethyst Arbor Assisted Living & Memory Care (Amethyst Arbor)
- Tanay J Amin, M.D.
- Trisha Amin, PA
- Amkal LLC (RapidCare Centers)
- Ashwini Nayak Ammunje, M.D.
- Michael Kwesi Amponsah, MD
- Alexys Leanne Amuso
- Amy L Houston Academy
- Amy Serin PHD PLLC (The Serin Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.