Active NPI
Steven Quagliano
- Pediatric Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1689955247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2503
- Practice address
- 23 W Casa Hermosa Dr
Phoenix, AZ 85021-5519 - Phone
- (480) 201-9112
- NPI assigned
- Sep 8, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2503 | AZ | Primary |
Addresses
Primary practice location
23 W Casa Hermosa Dr
Phoenix, AZ 85021-5519
Mailing address
23 W Casa Hermosa Dr
Phoenix, AZ 85021-5519
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 994395 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY | |
| 2503 | Other | AZ | AZ STATE OCCUPATIONAL THERAPY LICENSE |
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 |
|---|---|---|---|
| 2503 | AZ | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1689955247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 W CASA HERMOSA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 W CASA HERMOSA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215519",
"telephone_number": "480-201-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAGLIANO",
"first_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "2503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
"identifier": "994395",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE OCCUPATIONAL THERAPY LICENSE",
"identifier": "2503",
"state": "AZ"
}
],
"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 Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.