Active NPI
Jodi Eileen Edwards, OT
- Neurorehabilitation Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1699308270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 353569
- Practice address
- 1190 E Missouri Ave Ste 100
Phoenix, AZ 85014-2719 - Phone
- (602) 393-0520
- NPI assigned
- Feb 21, 2020
- 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 |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 353569 | AZ | Primary |
Addresses
Primary practice location
1190 E Missouri Ave Ste 100
Phoenix, AZ 85014-2719
Mailing address
6 N Fraser Dr
Mesa, AZ 85203-8806
Phone (480) 203-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 353569 | Other | AZ | NATIONAL BOARD OF OCCUPATIONAL THERAPY |
Other names 1
- Jodi Eileen Salvi, Reimer
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 |
|---|---|---|---|
| 353569 | AZ | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1699308270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 N FRASER DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852038806",
"telephone_number": "480-203-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 E MISSOURI AVE STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142719",
"telephone_number": "602-393-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JODI",
"middle_name": "EILEEN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "AZ",
"license": "353569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD OF OCCUPATIONAL THERAPY",
"identifier": "353569",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "SALVI, REIMER",
"middle_name": "EILEEN",
"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 Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.