Active NPI
Gretchen Lynn Bachman, OTR L MBS CHT
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1659325439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2379
- Practice address
- 690 N Cofco Center CT
Suite 270
Phoenix, AZ 85008-6462 - Phone
- (602) 393-1010
- Fax
- (602) 393-1011
- NPI assigned
- May 19, 2006
- 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 Therapist | 225X00000X | 2379 | AZ | Primary |
Addresses
Primary practice location
690 N Cofco Center CT
Suite 270
Phoenix, AZ 85008-6462
Mailing address
PO Box 271429
Salt Lake City, UT 84127-1429
Phone (602) 385-2115
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00404837 | Other | AZ | RAILROAD MEDICARE PTAN |
| 497702 | Medicaid | AZ |
Other names 1
- Ms. Gretchen Lynn Kaiser
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2379 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Therapy Professionals | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Preferred Provider Organization
- Mesa, AZ
- NPI 1285719898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1659325439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271429",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841271429",
"telephone_number": "602-385-2115",
"fax_number": "480-422-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 N COFCO CENTER CT",
"address_2": "SUITE 270",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086462",
"telephone_number": "602-393-1010",
"fax_number": "602-393-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN",
"first_name": "GRETCHEN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "OTR L MBS CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "2379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00404837",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497702",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GRETCHEN",
"last_name": "KAISER",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "OTR L MBS CHT",
"code": "1",
"type": "Former Name"
}
]
}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 Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.