Active NPI
Deborah Ann Rolan
- Occupational Therapy Assistant
- Scottsdale, AZ
National Provider Identifier
1700939808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1336
- Practice address
- 8115 E Indian Bend Rd Ste 123
Scottsdale, AZ 85250-4819 - Phone
- (480) 951-6451
- NPI assigned
- Jan 19, 2007
- 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 Therapy Assistant | 224Z00000X | 1336 | AZ | Primary |
Addresses
Primary practice location
8115 E Indian Bend Rd Ste 123
Scottsdale, AZ 85250-4819
Mailing address
1724 E Griswold Rd
Phoenix, AZ 85020-3928
Phone (602) 678-5761
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 |
|---|---|---|---|
| 1336 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700939808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 E GRISWOLD RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850203928",
"telephone_number": "602-678-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 E INDIAN BEND RD STE 123",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852504819",
"telephone_number": "480-951-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLAN",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "1336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.