Individual provider Active NPI

Ashley Moody

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1740708148
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007568 Issued in AZ
Practice address
20330 N Cave Creek Rd Ste A150
Phoenix, AZ 85024-4465
Phone
(602) 765-4338
Fax
(602) 765-4761
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 007568 AZ Primary

Addresses

Primary practice location

20330 N Cave Creek Rd Ste A150
Phoenix, AZ 85024-4465

Mailing address

300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474
Phone (877) 234-8032

Other practice location 1

7301 Peak Dr Ste 101
Las Vegas, NV 89128-9038
Phone (702) 940-3000

Other names 1

  • Ashley Selsted-Sianez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170926001068 NV Practitioner - Occupational Therapist in Private Practice 0143594424 Reassigns benefits to 1 organization
I20181009003686 AZ Practitioner - Occupational Therapist in Private Practice 0143594424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHT Hand Therapy Limited PartnershipGroup PAC ID 0547362691, 22 clinicians

Practice addresses (Care Compare)

5757 W Thunderbird Rd
Suite E465
Glendale, AZ 85306-4650
Phone (602) 843-9945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007568AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DHT Hand Therapy Limited Partnership Occupational Therapist CurrentSince Oct 1, 2018 Accepting new patients
New Century Rehabilitation LLC Occupational Therapist CurrentSince Aug 15, 2017 Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist Current Accepting new patients
New Century Rehabilitation, LLC CurrentSince Aug 15, 2017 Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist CurrentSince Oct 1, 2018 Accepting new patients

Locations

1489 S Higley Rd
Ste 103
Gilbert, AZ 85296
Phone (480) 750-1974

5757 W Thunderbird Rd
Ste E465
Glendale, AZ 85306
Phone (602) 393-4263

790 N Estrella Pkwy
Ste C
Goodyear, AZ 85338
Phone (602) 765-4348

300 W Clarendon Ave
Ste 285
Phoenix, AZ 85013
Phone (602) 277-3686

20330 N Cave Creek Rd
Ste A150
Phoenix, AZ 85024
Phone (602) 765-4338

1860 N 95th Ln
Ste 105
Phoenix, AZ 85037
Phone (623) 907-0828

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

7301 Peak Dr
Ste 101
Las Vegas, NV 89128
Phone (702) 940-3000

Organizations & group practices 5

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.

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": "1581379200000",
    "number": "1740708148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133474",
            "telephone_number": "877-234-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20330 N CAVE CREEK RD STE A150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244465",
            "telephone_number": "602-765-4338",
            "fax_number": "602-765-4761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 Peak Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289038",
            "country_code": "US",
            "telephone_number": "702-940-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "007568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SELSTED-SIANEZ",
            "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 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.