Active NPI
Marsha D Mills, COTA/L
- Occupational Therapy Assistant
- Phoenix, AZ
National Provider Identifier
1669881728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5768
- Practice address
- 13835 N Tatum Blvd Ste 9429
Phoenix, AZ 85032-0413 - Phone
- (480) 242-5903
- Fax
- (602) 633-1076
- NPI assigned
- Aug 3, 2014
- Last updated
- Aug 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5768 | AZ | Primary |
Addresses
Primary practice location
13835 N Tatum Blvd Ste 9429
Phoenix, AZ 85032-0413
Mailing address
23727 N El Frio CT
Sun City, AZ 85373-5070
Phone (623) 853-7893
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 |
|---|---|---|---|
| 5768 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheels on the Bus Pediatric Therapy | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmental Disabilities Clinic/Center
- Phoenix, AZ
- NPI 1427488808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407024000000",
"number": "1669881728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23727 N EL FRIO CT",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853735070",
"telephone_number": "623-853-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13835 N TATUM BLVD STE 9429",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850320413",
"telephone_number": "480-242-5903",
"fax_number": "602-633-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "MARSHA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-03",
"last_updated": "2014-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "5768",
"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 Aug 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.