Active NPI
Memrie Sloan Laney
- Occupational Therapist
- Glendale, AZ
National Provider Identifier
1730096405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-010421
- Practice address
- 5535 N 67TH Ave
Glendale, AZ 85301-8214 - Phone
- (623) 237-4006
- NPI assigned
- Aug 26, 2026
- 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 Therapist | 225X00000X | OTH-010421 | AZ | Primary |
Addresses
Primary practice location
5535 N 67TH Ave
Glendale, AZ 85301-8214
Mailing address
123 County R0Ad 1439
Mooreville, MS 38857-7809
Phone (662) 646-0863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1730096405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 COUNTY R0AD 1439",
"city": "MOOREVILLE",
"state": "MS",
"postal_code": "388577809",
"telephone_number": "662-646-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5535 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853018214",
"telephone_number": "623-237-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANEY",
"first_name": "MEMRIE",
"middle_name": "SLOAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-010421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.