Individual provider Active NPI

Leanna Kelli Hammett, COTA

  • Occupational Therapy Assistant
  • Glendale, AZ
National Provider Identifier
1750150561
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA-046693 Issued in AZ
Practice address
6635 W Happy Valley Rd Ste A104-218
Glendale, AZ 85310-2609
Phone
(623) 224-1214
NPI assigned
Dec 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA-046693 AZ Primary

Addresses

Primary practice location

6635 W Happy Valley Rd Ste A104-218
Glendale, AZ 85310-2609

Mailing address

9245 N Centipede Ave
Tucson, AZ 85742-8331
Phone (520) 784-3479

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

LicenseStateTypeSpecialty
OTA-046693AZMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1750150561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 N CENTIPEDE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428331",
            "telephone_number": "520-784-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD STE A104-218",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "623-224-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMETT",
        "first_name": "LEANNA",
        "middle_name": "KELLI",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-046693",
            "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 Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.