Active NPI
Talicia Monique Llanes, OTD
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1730607185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7140
- Practice address
- 2702 N 3Rd St Ste 1000
Phoenix, AZ 85004-4605 - Phone
- (602) 840-6410
- NPI assigned
- Sep 6, 2017
- 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 | 7140 | AZ | Primary |
Addresses
Primary practice location
2702 N 3Rd St Ste 1000
Phoenix, AZ 85004-4605
Mailing address
2702 N 3Rd St Ste 1000
Phoenix, AZ 85004-4605
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 |
|---|---|---|---|
| 7140 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| Neurologic Music Therapy Services of Arizona | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Glendale, AZ
- NPI 1235654237
-
- Physical Therapy Clinic/Center
- Peoria, AZ
- NPI 1285271684
-
- Music Therapist
- Phoenix, AZ
- NPI 1063621365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1730607185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 N 3RD ST STE 1000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 N 3RD ST STE 1000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044605",
"telephone_number": "602-840-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLANES",
"first_name": "TALICIA",
"middle_name": "MONIQUE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "7140",
"primary": true
}
],
"identifiers": [],
"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 Mar 19, 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.