Active NPI
Abigael Maytlis, OTR/L
- Occupational Therapist
- Gilbert, AZ
National Provider Identifier
1669989844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008734
- Practice address
- 3941 E Baseline Rd Ste 101
Gilbert, AZ 85234-2750 - Phone
- (480) 787-5387
- NPI assigned
- Jan 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Occupational Therapist | 225X00000X | 008734 | AZ | Primary |
Addresses
Primary practice location
3941 E Baseline Rd Ste 101
Gilbert, AZ 85234-2750
Mailing address
3301 E Ray Rd Apt 3058
Gilbert, AZ 85296-4569
Phone (602) 791-5239
Other practice location 1
4121 E Valley Auto Dr
Mesa, AZ 85206-4631
Phone (480) 474-4173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9000 E San Victor Dr
Scottsdale, AZ 85258-5051
Phone (623) 299-7784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008734 | AZ | MD | Occupational Therapist |
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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1669989844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 E RAY RD APT 3058",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964569",
"telephone_number": "602-791-5239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3941 E BASELINE RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342750",
"telephone_number": "480-787-5387"
}
],
"practiceLocations": [
{
"address_1": "4121 E Valley Auto Dr",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852064631",
"country_code": "US",
"telephone_number": "480-474-4173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYTLIS",
"first_name": "ABIGAEL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "008734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.